Manager, Provider Data Operations

Evolent Health; United States; Remote; USD 75,000 - 80,000; Full time

Job summary

Join a forward-thinking company committed to transforming healthcare. As a Manager in Provider Data Operations, you will lead a dynamic team, driving process improvements and ensuring operational excellence. Your expertise in healthcare and data management will be pivotal in enhancing client implementations and resolving issues. This role offers an exciting opportunity to make a significant impact while enjoying a supportive work environment that values diversity and inclusion. If you are a self-motivated leader looking to thrive in an agile setting, this position is perfect for you.

Benefits

Health Insurance

Flexible Schedules

Work/Life Balance

Autonomy in Work

Diversity and Inclusion Initiatives

Qualifications

• 3+ years of healthcare experience in credentialing or provider services.
• Proficient in Microsoft Office Suite and data management.

Responsibilities

• Lead a team and manage daily operations in data processing.
• Identify process improvements and implement efficiency initiatives.
• Collaborate across domains for troubleshooting and implementation.

Skills

Healthcare Experience

Data Management

Leadership

Microsoft Office Suite

Communication Skills

Organizational Skills

Agile Adaptability

Time Management

Education

BA/BS Degree

Job description

Your Future Evolves Here

Evolent partners with health plans and providers to improve outcomes for people with complex and costly health conditions. Working across specialties and primary care, we aim to connect the fragmented healthcare system to ensure people receive the same level of care and compassion we would want for our loved ones.

Our employees enjoy work/life balance, flexible schedules, and autonomy to complete their tasks. We believe people do their best work when supported to live their best lives and when they feel welcome to bring their whole selves to work. Diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Manager, Provider Data Operations

What You Will Be Doing:

The Manager, Provider Data Operations will oversee data operations supporting our specialty line of business (NIA), including authorization processing, client implementations, issue resolution, process improvement, and more. This role reports to the Director of Provider Data Management.

• Lead a team of 3-7 employees, managing their time, supporting career development, and overseeing daily operations
• Use data-driven decision-making to prioritize daily tasks, projects, and client requests
• Identify process improvements, analyze cost savings, and implement efficiency initiatives
• Serve as a subject matter expert on systems, technology, and operational processes; support new client implementations
• Collaborate across domains for troubleshooting, process improvement, and implementation
• Manage multiple projects, maintain documentation, and develop training/onboarding materials
• Build and maintain strong relationships internally and externally
• Ensure contractual and operational service level agreements are met
• Perform moderate to complex data reconciliation

Qualifications - Required and Preferred:

• BA/BS degree or equivalent experience
• At least three years of healthcare experience related to credentialing, provider enrollment, data management, or provider services, preferably in a leadership role
• Understanding of US healthcare, Managed Care Organizations, and Medicaid
• Commitment to our values: Candor, Listening, Inclusion, and Ownership
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Teams, OneNote, Outlook)
• Excellent communication skills
• Detail-oriented with strong organizational skills
• Ability to adapt in an agile environment
• Self-motivated, accountable, and independent worker
• Effective time management and prioritization skills
• Preferred but not required: Experience in developing training content, cross-domain collaboration, and process improvement methodologies

Technical Requirements:

All employees must have high-speed internet (>10 Mbps) at home and, for call center roles, the ability to connect directly to the home router. These requirements may change with office reopenings.

Evolent is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability. For reasonable accommodations, contact [e-mail].

The salary range for this position is $75,000 to $80,000, with eligibility for performance-based bonuses. We offer comprehensive benefits, including health insurance. Compensation is based on skills and experience, and may vary above or below the stated range.