Senior Director, Provider Network Operations

PacificSource Health Plans; Boise (ID); On-site; USD 108,000 - 184,000; Full time

Job summary

The role partners with IT, Analytics, and Operations to optimize interoperability, ensure regulatory compliance, and drive performance. Travel approx. 15% and a focus on team development, budgeting, and strategic planning are essential.

Qualifications

• 8+ years in a leadership role overseeing healthcare provider network operations or related functions.
• Ability to lead multiple areas (Provider Relations, Credentialing, Provider Data Management) in a matrixed organization.

Responsibilities

• Oversee Provider Network Operations, including network setup and maintenance, data integrity, and provider education.
• Collaborate with IT, Analytics, and Operations to optimize interoperability and compliance with standards.
• Lead budgeting, staffing, and strategic planning for the Provider Network department.
• Develop and deliver provider education programs and strengthen partner relationships.

Skills

Leadership

Strategic Planning

Cross-functional Collaboration

Provider Network Operations

Program Management

Education

Bachelor’s degree in business, health care administration, finance, or related field

Tools

Microsoft Excel

Job description

The role partners with IT, Analytics, and Operations to optimize interoperability, ensure regulatory compliance, and drive performance. Travel approx. 15% and a focus on team development, budgeting, and strategic planning are essential.