Manager, Provider Operations - Provider Data

Accurate, complete, and timely provider data is foundational to how we serve our members and support our providers. It powers the provider directory, helps members find and navigate care, reduces administrative burden for providers, and supports critical processes including claims, utilization management, credentialing, network operations, care navigation, and reporting. Because provider data is complex, interconnected, and constantly changing, strong processes to monitor, verify, and improve its accuracy are essential to our member and provider experiences, operational performance, and compliance with federal and state requirements.
The Manager will help drive operational excellence across the provider data lifecycle—from onboarding and initial configuration through ongoing maintenance and verification—with particular focus on ensuring that records affecting member care are accurate, complete, and up to date. By connecting operational insights, stakeholder feedback, and data trends, this person will identify opportunities to strengthen processes, improve data quality, and prevent issues before they impact members, providers, or downstream business operations. We’re looking for a self-starter who can bring structure to ambiguous problems, manage multiple initiatives, and move work from insight to implementation.
Support and advance initiatives that improve the accuracy, completeness, timeliness, and scalability of provider and facility data operations from onboarding through ongoing maintenance and verification
Help oversee the operating performance of offshore teams and automated solutions supporting provider data and verification initiatives, including monitoring quality, productivity, capacity, and issue trends
Develop and maintain reporting, dashboards, and monitoring that provide visibility into operational performance, verification results, data quality trends, emerging risks, and opportunities for intervention
Help design, build, and monitor AI agents and other automation solutions that improve the efficiency, scalability, and accuracy of provider data operations and initiatives
Analyze root causes of recurring data issues and recommend process, tooling, or upstream improvements that prevent issues from recurring
Partner with claims and other internal data teams to develop reporting and analyses that quantify the operational and business impact of provider data issues
Serve as a flexible operational leader who can build structure in ambiguous environments, take on new problem areas, and shift priorities as business and member needs evolve
Bachelor’s degree and 3–5+ years of relevant experience in healthcare operations, provider data, provider directory, credentialing, claims, network operations, data quality, or a related field
Experience managing operational workflows involving provider data, record validation, data quality, research, verification, or issue remediation
Demonstrated ability to build, document, and scale repeatable operational processes with measurable quality and productivity outcomes
Strong analytical skills, including the ability to investigate data issues, identify patterns and anomalies, and translate findings into clear operational actions
Experience building or maintaining dashboards, reporting, or monitoring tools to identify risks and track performance
Strong project management, communication, and organizational skills, with the ability to prioritize competing needs and work effectively with offshore teams and cross-functional partners
Experience managing or scaling offshore, vendor, or shared-services teams
Experience applying AI, agentic workflows, machine learning, or automation to reduce manual operational work
SQL or equivalent ability to query, join, and validate provider, claims, or operational data directly
Familiarity with provider directory requirements, CMS Medicare Advantage directory accuracy expectations, or other healthcare data and network regulations
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Employer sponsored health, dental and vision plan with low or no premium
~ Stock options for all employees
~ Bonus eligibility for all roles excluding Director and above; Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where were going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.