Director, Provider Data Operations - AI-Driven & Remote

SCAN Health Plan; California (MO); On-site; USD 147,900 - 205,000; Full time

Benefits offered by this job

Remote work

Annual bonus

Wellness program

PTO and holidays

401(k)

Tuition reimbursement

Paid holidays

Job summary

SCAN Health Plan is seeking a Director of Provider Data Operations to lead end-to-end provider data management and governance, ensuring accuracy across enterprise directories. The role works remotely with a focus on continuous improvement, AI-enabled automation, and regulatory readiness.

The ideal candidate has 2+ years of leadership in provider data management, 5+ years of healthcare experience, and a Bachelor's degree or equivalent, with strong collaboration across Operations, Technology, and

Qualifications

• Bachelor's degree or 5+ years equivalent work experience.
• 2+ years of leadership experience in managing teams.

Responsibilities

• Leads end-to-end provider data operations, including hierarchy, records, verification, roster management, reconciliation, and audits.
• Establishes quality standards, validation controls, and audit processes to ensure provider directory accuracy.
• Drives governance for provider data as an enterprise source of truth and aligns with downstream systems.
• Manages cross-functional collaboration with Operations, Technology, Compliance, and Network Management to improve data quality.

Skills

Leadership

Provider Data Management

Data Quality

Governance

Education

Bachelor's Degree

Job description

SCAN Health Plan is seeking a Director of Provider Data Operations to lead end-to-end provider data management and governance, ensuring accuracy across enterprise directories. The role works remotely with a focus on continuous improvement, AI-enabled automation, and regulatory readiness.

The ideal candidate has 2+ years of leadership in provider data management, 5+ years of healthcare experience, and a Bachelor's degree or equivalent, with strong collaboration across Operations, Technology, and