Head of Provider Network Operations & Compliance

PacificSource; Atlanta (GA); Remote; USD 150,000 - 190,000; Full time

Job summary

PacificSource in Atlanta, GA is seeking a senior leader to manage the Provider Network Operations portfolio. You will oversee Provider Relations, Credentialing, and Data Management, guiding strategic initiatives for network setup, data integrity, contract execution, and platform interoperability while aligning with enterprise goals.

The role requires 8+ years in healthcare provider network leadership, a business or health administration degree, and the ability to lead large teams across multiple

Qualifications

• Minimum 8 years of leadership experience in healthcare provider network operations or related functions.
• Knowledge of provider reimbursement methodologies and healthcare data management.
• Ability to develop and execute strategy in a matrixed organization.

Responsibilities

• Oversee Provider Network operations including Provider Relations, Credentialing, and Data Management.
• Lead cross-department initiatives to improve provider education, reimbursement, and platform interoperability.
• Ensure compliance with state, federal, and NCQA standards and maintain data integrity.

Skills

Leadership

Healthcare operations

Provider network

Strategic planning

Team management

Stakeholder engagement

Education

Bachelor's degree in Business or Healthcare Administration

Job description

PacificSource in Atlanta, GA is seeking a senior leader to manage the Provider Network Operations portfolio. You will oversee Provider Relations, Credentialing, and Data Management, guiding strategic initiatives for network setup, data integrity, contract execution, and platform interoperability while aligning with enterprise goals.

The role requires 8+ years in healthcare provider network leadership, a business or health administration degree, and the ability to lead large teams across multiple