Director, Provider Network Operations

Ladders; États-Unis; À distance; USD 108 000 - 184 000; Plein temps

Avantages offerts par ce poste

Comprehensive health insurance options

Retirement savings plan with company 2

Professional development opportunities

Flexible remote work environment

Employee engagement programs

Résumé du poste

Ladders client seeks a Director, Provider Network Operations to lead a healthcare networking function in the Finance & Insurance sector. This remote US-based role oversees provider network systems and relationships, partnering with analytics, credentialing, and IT teams to improve data integrity and service delivery.

The ideal candidate will drive interoperability, ensure regulatory compliance, and develop streamlined workflows across platforms, while guiding provider education and relationship

Qualifications

• 8+ years of leadership experience in healthcare provider network operations or related functions.
• Knowledge of provider reimbursement methodologies and compliance.
• Experience with credentialing and provider data management.
• Experience managing large, multi-level teams in complex portfolios.

Responsabilités

• Guide strategic initiatives for provider network operations, focusing on network setup and maintenance.
• Collaborate with analytics teams to meet credentialing objectives and ensure compliance.
• Develop strategies for provider education and relationship management to enhance collaboration.
• Lead integration efforts for provider network platforms with legacy and emerging systems.
• Identify interoperability gaps with IT teams and develop solutions for system compatibility.
• Ensure compliance with state, federal, and NCQA standards across integrated systems.
• Develop automated workflows for accurate data synchronization across platforms.

Connaissances

Leadership

Provider network operations

Relationship management

Data integrity

Formation

Bachelor's degree in business, healthcare administration, finance, or related field

Description du poste

For our client, we are seeking a Director, Provider Network Operations to join the team of a leader in the Finance & Insurance space.

This leader will oversee provider network operations with a focus on building, maintaining, and optimizing the systems and relationships that support a complex healthcare provider network. The role will partner closely with analytics, credentialing, and IT teams to improve data integrity, operational efficiency, and compliance across integrated platforms. The right candidate will help drive provider education, relationship management, and interoperable workflows that support accurate network administration and strong service delivery.

Location: Remote - US based candidates only, no visa sponsorship available

Compensation: $108,468 – $184,396 annually

Responsibilities

• Guide strategic initiatives for provider network operations, focusing on network setup and maintenance
• Collaborate with analytics teams to meet credentialing objectives and ensure compliance
• Develop strategies for provider education and relationship management to enhance collaboration
• Lead integration efforts for provider network platforms with legacy and emerging systems
• Identify interoperability gaps with IT teams and develop solutions for system compatibility
• Ensure compliance with state, federal, and NCQA standards across integrated systems
• Develop automated workflows for accurate data synchronization across platforms

Qualifications

• 8+ years of leadership experience in healthcare provider network operations or related functions
• Strong background in provider relations, credentialing, and provider data management preferred
• Proven ability to manage large, multi-level teams and complex operational portfolios
• In-depth knowledge of provider reimbursement methodologies and compliance requirements
• Bachelor's degree in business, healthcare administration, finance, or a related field required

Benefits

• Comprehensive health insurance options
• Retirement savings plan with company match
• Professional development and training opportunities
• Flexible work environment with remote options
• Employee engagement programs and initiatives

Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.