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, Provider Data Management, Credentialing, and provider platform interoperability. This role drives strategic initiatives, ensures compliance with healthcare standards, and fosters collaboration across internal teams and external provider partners to enhance network performance and member care. The position is responsible for aligning departmental efforts with the company's strategic vision while managing budgets, staff development, and cross-functional projects.