Provider Operations Manager

QTC Management, Inc.

Provider Operations Manager leading provider operations and retention efforts at Leidos QTC Health Services. Overseeing regional teams and driving operational excellence in healthcare management and provider support.

Posted 4/17/2026full-timeRemote • New Mexico • 🇺🇸 United StatesSeniorLead💰 $99,705 - $134,895 per yearWebsite

About the role

Key responsibilities & impact

Oversee Regional Managers and strategic sourcing team to ensure the effectiveness of network for all programs.
Responsible for specific team performance in order to achieve operational goals in regards to provider training, retention and satisfaction.
Arrange contract management and credentialing services with healthcare provider networks.
Direct training of team members on workflows and contractual modifications in an efficient and timely manner.
Conduct research to identify providers within designated markets.
Create, maintain, and carry out schedules that ensure deadlines are reached.
Partner with liaison management and support teams to identify provider problems and complaints to develop and implement action plans in order to enhance provider support and experience efficiency.
Responsible for the daily operational workflow, including communication with internal and external partners, resolution of customer issues, and identifying workflow concerns for specific cases and employees.
Use provider systems to manage and produce reports and analyses.
Negotiate and reviewing contract requirements with providers interested in partnership through communication QTC’s core values.
Manage processes focused on exceptional customer service, effective provider utilization, and immediate resolution of provider issues.
Ensure utilization of best practice workflows to ensure operational excellence and seek improvements in order to automate recurring processes.
Responsible for monthly and quarterly operational analysis and reporting.

Requirements

What you’ll need

Bachelor’s degree from an accredited college preferably in a healthcare or business-related field or equivalent experience/combined education
Minimum 7 years of leadership experience in the areas of Healthcare Management, management consulting, and managing provider networks
Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

Benefits

Comp & perks

Health and Wellness programs
Income Protection
Paid Leave
Retirement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract managementcredentialing servicesoperational analysisreportingprovider systemsworkflow managementdata analysisnegotiationcustomer serviceprocess automation

Soft Skills

leadershipcommunicationproblem-solvingteam managementorganizational skillsstrategic thinkinginterpersonal skillstime managementconflict resolutioncollaboration

Certifications

Bachelor’s degreeNational Agency Check with Inquiries (NACI)