accountable for the strategic leadership and oversight of all provider network operations
direct the accurate, timely, and compliant management of provider data
oversee and optimize the provider credentialing process
champion initiatives to advance market service excellence by implementing process improvements
lead and coordinate across the enterprise, facilitating cross-functional collaboration
ensure unwavering compliance with all healthcare regulations, Centene policies
promote and drive the adoption of industry best practices
establish, monitor, and report on key performance indicators (KPIs)

Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required
Master's Degree in a related field preferred
Minimum of 15 years’ experience in healthcare operations, with at least 5 years in a leadership capacity overseeing provider network functions
Demonstrated expertise in provider data management, credentialing processes, and regulatory compliance within a large healthcare organization
Exceptional leadership, communication, and organizational skills, with a proven ability to drive cross-functional collaboration and performance outcomes
Proven ability to drive transformation at scale
Strategic thinking and advanced problem-solving capabilities
Strong analytical skills and meticulous attention to detail
Proficiency in provider data operations functions (i.e. credentialling, roster management, issue intake and resolution, etc.)
Excellent interpersonal, negotiation, and stakeholder engagement skills

Head of Provider Operations

Key skills