Spring Health

Senior Network Operations Manager, Specialty Care

Spring Health

full-time

Posted on:

Origin:  • 🇺🇸 United States

Visit company website
✨ AI Apply
Manual Apply

Salary

💰 $110,000 - $142,500 per year

Job Level

Senior

Tech Stack

Spring

About the role

  • Lead and manage the vetting process for higher levels of care (HLOC) providers across multiple specialties, establishing critical partnerships to ensure full spectrum of care delivery
  • Support customer-specific provider vetting, ensuring key accounts have access to trusted, high-quality external provider partners
  • Build and maintain an internal provider vetting framework in partnership with Provider Operations and Clinical teams to drive a consistent, elevated standard for all provider partners specific to Specialty Care
  • Define and document vetting criteria and workflows, integrating feedback loops from internal stakeholders and clinical partners
  • Conduct external research to identify high-quality providers, facilities, and services to meet evolving Specialty Care needs
  • Act as a primary point of contact with external provider organizations, conducting outreach, assessments, and initial vetting
  • Maintain a strong understanding of the behavioral health provider landscape
  • Collaborate with Clinical and Sales & Customer Success teams to ensure the external network aligns with member needs and customer expectations
  • Collaborate with internal Clinical teams to design and document SOPs for referral processes
  • Identify opportunities to support referrals through AI-based tools or workflow automation, improving efficiency and consistency
  • Serve as an operational lead to troubleshoot and evolve internal referral pathways for high-acuity member needs
  • Track key metrics and outcomes to inform and improve referral success and partner performance
  • What success looks like in this role: Creation of a standardized, high-quality provider vetting process; Internal referral processes are clearly documented, supported with tools, and functioning efficiently across clinical teams; Provider and referral operations scale effectively to meet growing Specialty Care needs

Requirements

  • 6+ years of experience in operations, provider or network management, consulting, or healthcare delivery systems
  • 4+ years working in healthcare, preferably in a provider network, payor operations, healthcare administration or clinical coordination setting
  • Experience building or optimizing processes in high-complexity, cross-functional environments
  • Strong project management and documentation skills with an ability to drive clarity across multiple teams
  • Analytical mindset; comfortable working with data to evaluate provider quality and operational efficiency
  • Exceptional attention to detail and follow-through
  • Comfortable navigating ambiguity and collaborating across clinical and operational domains
  • Strong written and verbal communication skills; able to synthesize complexity for diverse stakeholders