Manager, Provider Network Solutions

The Manager, Provider Network Solutions leads the development, implementation, and oversight of provider network solutions that support organizational growth, regulatory compliance, network adequacy, provider access, and operational effectiveness. This role manages teams responsible for provider network analysis, network NCQA HPA deliverables, provider data integrity, regulatory reporting, and multi-state network initiatives. The position partners with business leaders, regulatory stakeholders, and vendors to ensure provider networks meet federal, state, accreditation, and organizational requirements while supporting strategic product and market objectives.