Manager, Provider Data Operations

Your Future Evolves Here

Manager, Provider Data Management – Provider Network Specialty Services

The Manager, Provider Network will be a dynamic role that will encompass overall support for Specialty Services Operations in areas including authorization processing, client implementations, issue solution, process improvement, and more. This position reports to the Director.

What You’ll Be Doing:

• Leadership responsibility for a team of 3-7 employees which includes time management, career development support, process improvement, and day to day operations oversight

• Supporting/Leading new client implementations for department

• Cross-domain collaboration for issue troubleshooting, process improvement, and/or implementation

• Responsible for managing concurrent projects as assigned

• Establishing and maintaining excellent relationships, internally and externally

• Maintain contractual service level and/or operational level agreements, as applicable

• Moderate to complex data reconciliation

• Responsible for departmental documentation management

• Shared accountability in managing training documentation and course content as well as onboarding new associates and continued staff training where necessary

Qualifications Required:

• BA preferred or equivalent years of leadership experience

• Minimum of three years’ leadership experience in healthcare field related to credentialing, provider enrollment, provider data management, provider services and/or configuration, preferably in a leadership role

• General understanding of US health care, Managed Care Organizations, and/or Medicaid

• Prior experience with developing and leading training content

• Lives the values: Communicate with Candor, Start by Listening, Foster Inclusion, and Own the Opportunity

• Proficient PC skills in the following Microsoft Office based environments: Excel, Word, PowerPoint, Teams, OneNote and Outlook

• Excellent verbal and written communication skills

• Detail oriented with good organizational skills

• Ability to work in an agile space and adapt to fluctuating situations

• Takes initiative and works independently

• Ability to time manage and reprioritize tasks/projects as appropriate

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. 

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.

The expected base salary/wage range for this position is $70,000 -$80,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.