Director, Provider Network Operations

The Director, Provider Network Operations leads the Provider Network department's core operational, data, and systems functions, overseeing divisions such as Provider Relations, Credentialing, and Provider Data Management. This role drives strategic initiatives to ensure provider data integrity, platform interoperability, and compliance with healthcare standards across Medicaid, Medicare, and Commercial lines of business. The position collaborates with cross-functional teams to optimize network operations, enhance provider engagement, and achieve key performance indicators aligned with the company's strategic vision.