Manager, Provider Data Operations

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Manager, Provider Data Operations

What You Will Be Doing:

The Manager, Provider Data Operations will be a dynamic role that will encompass overall data operations supporting our specialty line of business (NIA) including authorization processing, client implementations, issue resolution, process improvement, and more. This position reports to the Director. Provider Data Management.

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

• Use data-driven decision-making skills to effectively prioritize day-to-day operations, project work, and address client requests and escalations

• Identify areas for process improvement, conduct cost savings analysis, and execute on implementing time and cost savings initiatives

• Function as subject matter expert internally and externally for both our systems/technology and our operational processes as well as 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, departmental documentation, and training/onboarding documentation and process

• Establishing and maintaining excellent relationships, internally and externally

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

• Moderate to complex data reconciliation

Qualifications - Required and Preferred:

• BA/BS preferred or equivalent work experience

• Minimum of three years’ 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

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

• Technical proficiency and PC skills in the following Microsoft Office based environments: Excel, Word, PowerPoint, Teams, OneNote, 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, fosters accountability, and works independently

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

• Strongly preferred, but not required: Prior experience with developing and leading training content, cross-domain collaboration and workstreams as well as process improvement methodologies