Contract Clinical Operations Jobs in Raleigh, NC

Collaborative Health Network, LLC (CHN) is dedicated to Building Healthy Lives for North Carolinians through a best-in-class clinically integrated network of collaborative healthcare providers delivering value-based care, quality outcomes, and impact across the state's footprint.

Reporting to the Chief Operating Officer, the Director of Network Operations serves as CHN's senior leader responsible for network operations, provider engagement, analytics, technology enablement, and performance improvement. This position leads the optimization of network infrastructure, provider support services, care management and referral technologies, performance reporting, and strategic initiatives that advance quality outcomes, value-based care growth, and provider experience.

The Director of Network Operations serves as a key liaison between providers, technology partners, payers, committees, executive leadership, and the Governance Board, translating data into actionable insights and ensuring operational excellence across the clinically integrated network. The role is responsible for driving network performance, strengthening provider engagement, overseeing critical technology platforms, and supporting CHN's strategic growth objectives.

• Lead CHN's analytics strategy, performance reporting, and dashboard development across quality, value-based care, total cost of care, utilization, payer performance, and strategic initiatives.
• Translate complex network, quality, and operational data into actionable insights for executive leadership, committees, providers, and Board decision-making.
• Lead and manage technology and data vendor relationships, contracts, performance expectations, and ongoing optimization activities.
• Serve as operational owner and primary administrator of CHN's Care Management Platform.
• Serve as operational owner and primary administrator of CHN Connect, including referral management workflows, provider adoption, optimization, training, and reporting.
• Develop, monitor, and report network performance metrics, key performance indicators, and organizational scorecards.
• Identify and implement technology solutions and operational improvements that enhance network effectiveness and provider experience.

• Lead provider onboarding, education, training, and technical assistance efforts across CHN's provider network.
  Oversee and perform network support operations, including help desk performance, issue resolution, stakeholder support, and service quality.
• Develop and implement strategies that strengthen provider engagement, participation, satisfaction, and network quality.
• Establish and maintain service standards and customer experience expectations across network operations.
• Collaborate with providers, payers, and community partners to advance quality, operational, and value-based care objectives.
• Monitor provider utilization of network technologies and identify opportunities for engagement and performance improvement.

• Chair the CHN Connect Operations Committee, including meeting facilitation, agenda development, committee documentation, stakeholder communications, and Board reporting.
• Co-chair and operationally lead the Network Committee, including facilitation, strategic planning, committee coordination, and Board reporting.
• Prepare executive reports, dashboards, presentations, and recommendations for Board and committee review.
• Monitor committee action plans, strategic priorities, and performance objectives.

• Lead strategic initiatives that improve network performance, provider experience, technology utilization, quality outcomes, and value-based care success.
• Partner with executive leadership to support business development, payer strategy, care transformation, and organizational growth initiatives.
• Identify opportunities to improve efficiency, scalability, and operational effectiveness across the network.
• Support development and execution of CHN's strategic plan and network growth priorities.
• Advance CHN's impact by leveraging technology, analytics, and provider engagement to strengthen statewide network performance.

• Healthcare Network Operations: Strong understanding of clinically integrated networks, provider relations, network operations, value-based care models, quality performance, and healthcare delivery systems.
• Healthcare Analytics: Demonstrated ability to interpret healthcare data and communicate findings to executive, clinical, operational, and Board audiences.
• Technology Administration: Experience administering healthcare technology platforms such as referral management systems, care management technologies, and reporting tools.
• Vendor & Relationship Management: Ability to manage strategic vendor relationships, contracts, performance expectations, and technology partnerships.
• Committee & Governance Leadership: Experience facilitating committees, presenting to Governance Boards, and leading cross-functional stakeholder groups.

The above information describes the most critical aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required to perform the work.

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Health Informatics, Data Analytics, Information Systems, or a related field.
• Minimum of seven years of progressively responsible experience in healthcare operations, provider network management, analytics, value-based care, technology administration, or healthcare consulting.
• Minimum of five years of leadership experience.
• Experience with provider engagement, healthcare technology platforms, and performance reporting.
• Experience presenting to executive leadership, committees, or Governance Boards.
• Knowledge of healthcare quality measurement, value-based care models, and provider network operations.

• Master's degree (MHA, MBA, MPH, or related field).
• PMP certification.
• Experience with clinically integrated networks.
• Experience with behavioral health, primary care, whole-person care, and managed care operations.
• Experience with healthcare analytics and business intelligence tools.
• Experience with care management and referral management platforms.
• Knowledge of North Carolina healthcare and Medicaid managed care environments.

• Primarily sedentary work with standard office demands.
• Occasional lifting of up to 30 pounds.
• Approximately 10% to 20% (2 to 4 days per month), primarily within North Carolina, with occasional overnight travel for conferences, retreats, and stakeholder events.

Learn more about us at www.collaborativehn.com.