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Director, Provider Network Operations
PacificSource Health PlansDirector of Provider Network Operations at PacificSource overseeing provider relations and data management. Leading strategic initiatives for effective network operations and compliance in healthcare.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in healthcare operations, provider reimbursement methodologies, and data management, with a strong focus on strategic initiative execution and team leadership. Proven ability to develop automated workflows and manage budgets within a matrixed organizational structure.
Highest-signal resume keywords
Healthcare Operations ManagementProvider Reimbursement MethodologiesData ManagementStrategic Initiative ExecutionTeam Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider RelationsCredentialingData ManagementBudget MonitoringAutomated Workflow Development
Soft Skills
CoachingCollaborationCommunication
Tools & Technologies
Provider Network PlatformsOperational Systems
Industry Keywords
HealthcareComplianceMatrixed Organizational Structure
About the role
Key responsibilities & impact- Accountable for the Provider Network department’s core operational, data, and systems functions.
- Oversee Provider Network divisions including Provider Relations, Provider Data Management, Credentialing, and provider platform interoperability.
- Guide strategic initiatives for the Provider Network Operations division.
- Collaborate with Provider Reimbursement Insights and Analytics Team.
- Develop, direct and execute efforts to meet Credentialing division objectives.
- Lead initiatives for seamless integration of provider network platforms.
- Collaborate with IT teams and operational leaders.
- Develop automated workflows and processes.
- Monitor division budgets and spending.
- Provide feedback, coaching, and development for direct reports.
Requirements
What you’ll need- Minimum of 8 years in healthcare operations required.
- Management experience required.
- Expertise in provider reimbursement methodologies, provider relations, data management, and compliance.
- Experience developing, communicating, and executing strategy in a matrixed organizational structure.
- Bachelor’s degree in business, health care administration, finance, or related field required.
- Candidates with an associate’s degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience will be considered.
Benefits
Comp & perks- Flexible telecommute policy
- Medical, vision, and dental insurance
- Incentive program
- Paid time off and holidays
- 401(k) plan
- Volunteer opportunities
- Tuition reimbursement and training
- Life insurance
- Options such as a flexible spending account