Provider Operations Manager: Inbound Data Management

About this role

Job Description

*A bit about this role:*

Foundational to our strategy is our ability to be an engine of accurate provider data, which is inherently complex and ever-changing.

In this managerial-level operational role, you will be responsible for ensuring operational excellence while serving as a key thought partner in identifying areas for AI optimization. You will balance hands-on execution with the oversight of critical workflows, policies, and partnerships, helping us intelligently scale our data processes.

*Your Responsibilities and Impact will include:*

• Drive the strategic migration of high-volume operations into automated workflows by identifying key opportunities for AI agent integration.
• Owning AI agent performance evaluation and continuous iteration of their outputs.
• Lead and support our offshore partners in executing vital daily workflows, maintaining clear SOPs, and hosting regular touchpoints to ensure total alignment and operational success.
• Lead data improvement projects and partner cross-functionally with Network, Claims, and Delegated Operations to resolve provider data issues and maintain strict provider directory accuracy.
• Own the creation, implementation, and ongoing oversight of key provider data policies, procedures, and Standard Operating Procedures (SOPs)
• Serve as a subject matter expert on all things provider data; put on a detective hat to investigate data discrepancies, identify trends, and uncover root causes to improve inbound data processing upfront.

*Required skills and experience:*

• Strong operational leadership with a demonstrated ability to drive outcomes in complex, fast-paced environments.
• Experience developing scalable processes, operating models, and performance metrics.
• A "bias toward action" with a can-do attitude; you roll up your sleeves to get the job done.
• Strong data analysis skills and comfort with new product tooling. You are a fast learner who understands the "why" behind the da...