Lead strategy, design, and operational execution of a national NP and LPN provider network for in-home and virtual health assessments.
Develop network strategies to align capacity with member demand while maintaining availability, timeliness, and regional coverage.
Drive provider engagement, satisfaction, onboarding, retention, and high utilization through scheduling and demand forecasting.
Lead and manage Practice Coordinators and Managers to support assigned providers and standardize workflows.
Ensure clinical and operational compliance with internal policies, regulatory requirements, payer commitments, and state licensure.
Monitor KPIs (availability, completion rates, quality metrics, member satisfaction) and establish reporting dashboards.
Own end-to-end credentialing and oversee clinical coding to ensure accuracy and compliance with risk adjustment and quality programs.
Lead, develop, and mentor network operations managers, credentialing specialists, and coding professionals and represent network at the executive level.
Requirements
10+ years of progressive leadership experience in provider network management, clinical operations, or related healthcare delivery functions.
Proven success leading distributed clinical networks (NPs, LPNs, or similar) with both in-home and virtual care delivery.
Operational knowledge of credentialing, coding, and compliance standards preferred.
Experience leading provider support functions (practice coordinators, dynamic resource management, or provider operations teams).
Strong data-driven operator with a track record of using KPIs and analytics to drive accountability and performance.
Exceptional leadership, communication, and relationship-building skills across internal teams and external partners.
Bachelor's degree required; Master's degree in healthcare administration, business, or related field preferred.