Director of Network Operations

To lead the strategic roadmap for provider data management, the remote, full-time Director of Network Operations will oversee the accuracy and compliance of the consumer-facing Provider Directory, manage the end-to-end PDM Platform, and drive continuous improvement through advanced data integration and AI automation. Key responsibilities Ensure the accuracy and regulatory compliance of the Provider Directory while implementing controls to minimize data discrepancies Lead the strategic oversight of third-party credentialing partners and establish performance metrics to align external workflows with internal goals Directly manage and mentor a remote network operations team, fostering a culture of accountability and technological fluency Required qualifications 8+ years of executive leadership experience in healthcare network operations or provider data management, particularly within Medicare Advantage Deep expertise in Provider Data Management (PDM) and experience transforming data infrastructures into efficient automated systems Strong understanding of CMS network adequacy regulations and NCQA credentialing standards Proven experience managing third-party credentialing vendors and BPaaS partners to high performance standards Experience with AI and data solutions, including building automated data pipelines and architecting a PDM "Golden Record.