Remote Director, Provider Network Operations

Ladders; United States; Remote; USD 108,000 - 184,000; Full time

Benefits offered by this job

Comprehensive health insurance options

Retirement savings plan with company 2

Professional development opportunities

Flexible remote work environment

Employee engagement programs

Job summary

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.

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.

Skills

Leadership

Provider network operations

Relationship management

Data integrity

Education

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

Job description

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