Director of Provider Network Operations & Data Excellence

Harris Health; Houston (TX); On-site; USD 120,000 - 190,000; Full time

Job summary

Harris Health is seeking a Director of Network Operations to lead Community provider network operations, data integrity, and regulatory reporting in Houston. You will shape governance standards, performance measures, and cross-functional practices to ensure accurate provider information and timely regulatory submissions.

You will translate priorities into departmental strategies, oversee complex data issues and drive process improvements with multiple stakeholders, including IT, Compliance, and

Qualifications

• Bachelor's degree in Business/Healthcare Admin, Public Health, Health Informatics or related field required.
• Master's degree in Healthcare Admin, Business Admin, Public Health or Informatics preferred.
• Ten+ years in managed care, health plan ops, provider network ops or related field; >=5 years in leadership.

Responsibilities

• Provide strategic and operational leadership for provider network operations and data integrity.
• Oversee regulatory reporting, audits readiness, and provider communications.
• Lead cross-functional partnerships with Contracting, Credentialing, Claims, IT, Quality and Finance.

Skills

Network Ops Strategy

Governance

Data Integrity

Regulatory Reporting

Provider Communications

Leadership

Cross-functional

Audits

Executive Communication

Education

Bachelor's degree in related field

Master's degree preferred

Tools

Microsoft 365

SQL

Power BI

QNXT

Job description

Harris Health is seeking a Director of Network Operations to lead Community provider network operations, data integrity, and regulatory reporting in Houston. You will shape governance standards, performance measures, and cross-functional practices to ensure accurate provider information and timely regulatory submissions.

You will translate priorities into departmental strategies, oversee complex data issues and drive process improvements with multiple stakeholders, including IT, Compliance, and