Director, Provider Data Operations (Remote)

Scan-Health-Plan; Sacramento (CA); Hybrid; USD 147,900 - 205,000; Full time

Benefits offered by this job

Annual bonus

Wellness program

Paid time off

Birthday off

Volunteer days

401(k) match

Tuition reimbursement

Job summary

SCAN Health Plan is seeking a Director of Provider Data Operations to lead end-to-end data governance and accuracy across enterprise provider directories. The role drives strategy, quality controls, and audit readiness while partnering with Operations, Technology, Compliance, and external groups to improve data-driven decisions.

The position emphasizes building a high-performing team, scaling AI-enabled processes, and ensuring CMS/state compliance.

Qualifications

• Bachelor's Degree or 5+ years equivalent work experience.
• 2+ years of leadership experience.
• 2+ years leading Provider Data Management teams in a managed care or insurance setting.
• 5+ years of healthcare experience.

Responsibilities

• Lead end-to-end provider data operations including hierarchy, records, verification, roster management, reconciliation, and audit readiness.
• Establish quality standards, validation controls, and data governance across internal and external directories.
• Drive strategy for provider data as a trusted enterprise source of truth and ensure regulatory readiness.
• Coordinate with Operations, Technology, Compliance, and Vendors to improve data across processes.
• Monitor KPIs and drive continual improvements in data accuracy and workflow efficiency.

Skills

Leadership

Provider Data Management

Data Governance

Data Quality

AI Automation

Cross-functional collaboration

Regulatory compliance

Education

Bachelor's Degree

Healthcare experience 5+ years

Tools

Provider Data Applications

Automation Tools

Audit Tools

Job description

SCAN Health Plan is seeking a Director of Provider Data Operations to lead end-to-end data governance and accuracy across enterprise provider directories. The role drives strategy, quality controls, and audit readiness while partnering with Operations, Technology, Compliance, and external groups to improve data-driven decisions.

The position emphasizes building a high-performing team, scaling AI-enabled processes, and ensuring CMS/state compliance.