Head of Provider Operations

Centene Corporation

Executive overseeing provider network operations for health transformation and member engagement. Leading strategic initiatives in healthcare operations and ensuring regulatory compliance.

Posted 5/8/2026full-timeRemote • Florida, Montana • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

accountable for the strategic leadership and oversight of all provider network operations
direct the accurate, timely, and compliant management of provider data
oversee and optimize the provider credentialing process
champion initiatives to advance market service excellence by implementing process improvements
lead and coordinate across the enterprise, facilitating cross-functional collaboration
ensure unwavering compliance with all healthcare regulations, Centene policies
promote and drive the adoption of industry best practices
establish, monitor, and report on key performance indicators (KPIs)

Requirements

What you’ll need

Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required
Master's Degree in a related field preferred
Minimum of 15 years’ experience in healthcare operations, with at least 5 years in a leadership capacity overseeing provider network functions
Demonstrated expertise in provider data management, credentialing processes, and regulatory compliance within a large healthcare organization
Exceptional leadership, communication, and organizational skills, with a proven ability to drive cross-functional collaboration and performance outcomes
Proven ability to drive transformation at scale
Strategic thinking and advanced problem-solving capabilities
Strong analytical skills and meticulous attention to detail
Proficiency in provider data operations functions (i.e. credentialling, roster management, issue intake and resolution, etc.)
Excellent interpersonal, negotiation, and stakeholder engagement skills

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

provider data managementcredentialing processesregulatory complianceperformance indicatorsdata operations functionsissue intake and resolutionroster managementprocess improvementshealthcare operationsstrategic leadership

Soft Skills

leadershipcommunicationorganizational skillscross-functional collaborationstrategic thinkingproblem-solvinganalytical skillsattention to detailinterpersonal skillsnegotiation