Remote Manager-Provider Network Operations (Full-time Remote, North Carolina Based)

The Provider Network Operations Manager supports the Director of Provider Network Operations in the strategic and operational oversight of Provider Relations and PN Operations and Service Development teams. This position is responsible for managing supervisor-level staff, driving operational excellence, supporting provider network initiatives, improving processes, and ensuring effective collaboration across departments. The Manager partners with leadership to develop standardized workflows, improve efficiency, enhance team performance, and support organizational goals related to provider engagement, network adequacy, and operational effectiveness. This position is fulltime remote. Some travel for onsite meetings to theHome office at Morrisville may be required. Manage Unit Operations Support the Director of Provider Network Operations in overseeing daily operations of Provider Relations and PN Operations and Service Development teams Monitor team performance, service metrics, and operational outcomes Assist with planning, implementation, and evaluation of department objectives Directly supervise Provider Relations Supervisor and Supervisor PN Operations and Service Development Provide coaching, mentorship, and performance management to supervisory staff Promote a culture of accountability, collaboration, customer service, and continuous improvement Support workforce planning, staff development, succession planning, and employee engagement initiatives Partner with supervisors to identify training needs and professional development opportunities Develop, implement, and monitor standardized processes, tools, and procedures across Provider Relations and PN Operations and Service Development functions Recommend process improvement initiatives that reduce administrative burden, improve consistency, and increase effectiveness Measure and report on the effectiveness of process improvement initiatives Staff Management and Development Work with Human Resources and the Director of Provider Network Operations to attract, maintain, and retain a highly qualified and well-trained workforce Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements Set goals for performance and deadlines in line with organization goals and vision Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development Cultivate and encourage efforts to expand cross-team collaboration and partnership Manage and Analyze Reports Develop and analyze operational reports, dashboards, and performance metrics Monitor departmental goals and key performance indicators Provide recommendations to the Director of Network Operations regarding operational improvements and strategic opportunities Ensure compliance with organizational policies, documentation standards, and regulatory requirements Partner with Contracting, Claims, Quality, Care Management, Finance, and other departments to support provider and operational needs Participate in organizational initiatives impacting provider network performance and operations Manage Projects Take a lead role with special projects related to provider relations, operations and development Assist Director Provider Network Operations with development of project action plans, participate in special projects as needed to evaluate operational requirements Bachelor’s degree from an accredited college or university in a Human Services, Education, Sociology, Business, Public Administration, or related field and seven (7) years of experience in community, business, or governmental programs in health related fields, including two years of supervisory, consultative or administrative experience. Master’s degree from an accredited college or university in a Human Services, Education, Sociology, Business, Public Administration, or related field and three (3) years of experience in community, business, or governmental programs in health related fields, including two years of supervisory, consultative or administrative experience. General knowledge of Provider Contract requirements Knowledge of database systems for reporting and transmission of data Thorough knowledge of Microsoft Office Suite, particularly MS Word and MS Excel Demonstrated supervision skills Ability to identify and correct credentialing reporting issues via Microsoft Excel and credentialing database ability to manage several projects Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. Medical, Dental, Vision, Life, Long Term Disability Generous retirement savings plan Flexible work schedules including hybrid/remote options Paid time off including vacation, sick leave, holiday, management leave