Senior Director, Provider Success

DirectorDirectorFull TimeRemoteTeam 501-1,000Since 2013H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

12 days ago

Salary

$130.3K - $195.5K / year

Bachelor Degree10 yrs expEnglish

Job Description

• Design and stand up the enterprise MSO operating model supporting direct providers, hospital groups, and PPO-aligned networks. • Define standardized end-to-end workflows spanning onboarding, credentialing, claims, UM, quality, and performance management. • Establish scalable governance models for varying provider relationships (direct, hospital-employed, delegated entities, PPO partners). • Ensure operating model flexibility to accommodate market-specific needs while maintaining enterprise consistency. • Partner with Technology and Data teams to define system requirements, reporting infrastructure, and automation to support MSO operations. • Standardize internal workflows across UM, Claims, Network, Finance, and Clinical Operations to support multiple provider models with minimal variation. • Lead enterprise issue intake, tracking, and resolution processes for provider operational issues across all provider types. • Identify systemic issues impacting provider partners and drive cross-functional remediation. • Reduce administrative friction for providers by eliminating redundant processes and manual workarounds. • Partner with Data teams to develop standardized performance scorecards tailored to direct providers, hospital groups, and PPO-aligned providers, with consistent core metrics and model-specific views. • Establish enterprise performance review and engagement cadences that markets can execute locally. • Enable targeted steerage strategies aligned to preferred, high-performing providers across all provider types. • Build a consistent provider experience framework across direct providers, hospital groups, and PPO networks. • Implement enterprise provider education programs tailored to different provider models while maintaining consistent standards. • Own provider feedback loops, including surveys and NPS, and translate insights into operational and experience improvements. • Align enterprise and market communications to ensure clear, coordinated messaging to providers across all arrangements.

Job Requirements

  • 10+ years of progressive leadership experience in provider operations, network management, MSO operations, or healthcare operations.
  • 7+ years leading enterprise-wide initiatives involving workflow standardization, operating model design, or provider performance enablement.
  • Proven experience working with or supporting physicians, provider groups, or value-based care models.
  • Demonstrated success operating in complex, matrixed healthcare organizations with both enterprise and market-level stakeholders.
  • Strong track record of driving operational integration, reducing provider friction, and improving provider satisfaction and performance.
  • Bachelor’s degree in Business Administration, Healthcare Management, Operations, or related field required.
  • Master’s degree preferred (MBA, MHA, MPH, or related).

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off

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