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Provider Data Operations Jobs in California (NOW HIRING)

ICW Group

Data Operations Manager

San Diego, CA

Provides strategic and tactical leadership for Data Operations personnel and support functions. * Establishes clear operational ownership, support models, escalation paths and accountability ...

Icwgroup

Data Operations Manager

San Diego, CA

Provides strategic and tactical leadership for Data Operations personnel and support functions. * Establishes clear operational ownership, support models, escalation paths and accountability ...

ICW Group

Data Operations Manager

San Diego, CA · On-site

Provides strategic and tactical leadership for Data Operations personnel and support functions. * Establishes clear operational ownership, support models, escalation paths and accountability ...

Bloom Ads

Data Operations Coordinator

Woodland Hills, CA · On-site

$38K - $45K/yr

Collaborate with various departments to understand data requirements, provide data support, and implement solutions. * Prepare and deliver reports on data operations metrics and performance, using ...

Hive

Data Operations Analyst

San Francisco, CA · On-site

$60K - $85K/yr

About Hive Hive is the leading provider of cloud-based AI solutions to understand, search, and ... Data Operations Analyst We are looking for an eager and motivated Data Operations Analyst to join ...

Hive

Data Operations Analyst

San Francisco, CA

$60K - $85K/yr

About Hive Hive is the leading provider of cloud-based AI solutions to understand, search, and ... Data Operations Analyst We are looking for an eager and motivated Data Operations Analyst to join ...

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Provider Data Operations information

What is provider data operations?

Provider Data Operations involves managing and maintaining accurate provider information within healthcare systems. This role includes tasks such as data entry, validation, updates, and ensuring compliance with industry standards, often using specialized data management tools. It is essential for supporting claims processing, provider credentialing, and network management.

What jobs in the US pay 300,000 a year?

In the US, roles such as senior healthcare providers, specialized physicians, corporate executives, and certain data or technology leaders can earn $300,000 or more annually. These positions often require advanced degrees, extensive experience, and specialized skills, and may involve high levels of responsibility and long working hours.

How much do data providers earn?

Data providers' earnings vary based on experience, data quality, and the platform they use. Typically, they can earn from a few cents to several dollars per data point or project, with some earning additional income through bonuses or performance incentives. Compensation often depends on the complexity of the data and the volume of work completed.

What are the key skills and qualifications needed to thrive in Provider Data Operations, and why are they important?

To excel in Provider Data Operations, you need strong analytical skills, attention to detail, and experience with healthcare data management, often supported by a bachelor's degree in a related field. Familiarity with provider data management systems, claims processing software, and tools like Excel or SQL is typically required. Excellent communication, problem-solving abilities, and organizational skills help professionals collaborate effectively and resolve data discrepancies. These competencies ensure accurate provider information, regulatory compliance, and seamless healthcare operations.

What are Provider Data Operations?

Provider Data Operations refers to the processes involved in managing and maintaining accurate information about healthcare providers within an organization. This includes collecting, verifying, updating, and organizing data such as provider credentials, specialties, contact information, and practice locations. These operations are essential for ensuring that provider directories are current, claims are processed correctly, and regulatory requirements are met. Efficient provider data management supports better patient care, reduces administrative errors, and helps organizations comply with industry standards.

What jobs pay 200,000 a year in the USA?

In the USA, senior roles in data operations, such as Director of Data or Data Governance, can reach or exceed $200,000 annually, especially with extensive experience and certifications. Other high-paying jobs include specialized roles like data architects, analytics managers, and certain executive positions in technology and healthcare sectors. These roles often require advanced skills, leadership experience, and sometimes advanced degrees or certifications.

What is the difference between Provider Data Operations vs Provider Data Analysts?

AspectProvider Data OperationsProvider Data Analysts
Primary FocusManaging and maintaining provider data systems, workflows, and data integrityAnalyzing provider data to generate insights, reports, and support decision-making
Required SkillsData management, system administration, attention to detailData analysis, reporting, statistical skills
Work EnvironmentData management teams, healthcare IT departmentsAnalytics teams, healthcare business units
CertificationsData management certifications, healthcare IT credentialsData analysis certifications, healthcare analytics training

Provider Data Operations primarily focuses on maintaining and managing provider data systems and workflows, ensuring data accuracy and integrity. Provider Data Analysts analyze provider data to generate insights and support strategic decisions. While both roles work with provider data, Operations emphasizes data management processes, whereas Analysts focus on data interpretation and reporting.

What are some common challenges faced in Provider Data Operations, and how are they typically addressed?

Provider Data Operations professionals often encounter challenges such as maintaining accurate and up-to-date provider information, ensuring compliance with regulatory requirements, and coordinating data across multiple systems or departments. To address these challenges, teams frequently use robust data management software, implement regular audits, and collaborate closely with IT, compliance, and provider relations teams. Continuous process improvement and clear communication are also essential to minimize errors and streamline workflows.
What are popular job titles related to Provider Data Operations jobs in California? For Provider Data Operations jobs in California, the most frequently searched job titles are:
What job categories do people searching Provider Data Operations jobs in California look for? The top searched job categories for Provider Data Operations jobs in California are:
What cities in California are hiring for Provider Data Operations jobs? Cities in California with the most Provider Data Operations job openings:
Provider Data Operations jobs near you
Program Manager, Provider Data Operations

Program Manager, Provider Data Operations

CalOptima

Orange, CA • Hybrid

Full-time

Retirement, PTO

Posted 11 days ago

CalOptima rating

9.1

Company rating: 9.1 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

24th of 261 rated insurance

Job description


Program Manager, Provider Data Operations
CalOptima
Join Us in this Amazing Opportunity
The Team You'll Join
We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.
More About the Opportunity
We are hoping you will join us as a Program Manager, Provider Data Operations and help shape the future of healthcare where you'll be an integral part of our Provider Data Operations team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Partial Telework.
  • If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The Program Manager (Provider Data Operations) will be responsible for collaborating and coordinating with leadership the planning, design and implementation of programs and initiatives that impact the teams within the Provider Data Operations department. You'll review and analyze regulatory and operational requirements and be responsible for full cycle implementation. Under the guidance of leadership, you'll develop a framework for execution, ensuring that programs are aligned with the organization's larger strategy, executed according to requirements and meet the needs of the department. Together, we are building a stronger, more equitable health system.
Your Contributions To the Team:
  • 90% - Program Support
    • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
    • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
    • Coordinates the planning, implementation and management of department initiatives and activities and works collaboratively with impacted business departments.
    • Acts as a liaison and works with the Regulatory Affairs and Compliance department to analyze, track, implement and ensure delivery of regulatory requirements impacting the Provider Data Operations functional areas.
    • Support in facilitating end-to-end implementation of regulatory, operational and technical requirements and ensures timelines and deliverables are fulfilled in cooperation with internal teams, third party vendors and health networks.
    • Conducts data quality checks, validates processes against requirements and identifies risks, gaps and resolutions.
    • Completes statement of work and work breakdown structure for projects and business plans for all lines of business.
    • Collaborates with other department analysts in the development of program measures of success and outcome reports for programs.
    • Creates and maintains thorough documentation, including policies and procedures, standard operating procedures (SOPs), job aids and training materials, following best practices for retention and accessibility.
    • Provides analytical support and technical expertise on requests for information from management and other staff regarding provider-related issues and trends.
    • Supports management and leadership by analyzing strategic options and providing data-driven recommendations.
    • Stays current on the local, state and federal health care environment to identify public policy and market trends that may impact CalOptima Health's provider programs and/or mission.
  • 10% - Other
    • Completes other projects and duties as assigned.

Do You Have What the Role Requires?
  • Bachelor's degree PLUS 3 years of experience in operations, data, project management and/or program management required, preferably in the health care industry or managed care environment; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

You'll Stand Out More If You Possess the Following:
  • Master's degree.
  • 2 years of experience with managed care regulatory requirements.

What the Regulatory Agencies Need You to Possess?
  • N/A

Your Knowledge & Abilities to Bring to this Role:

  • Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
  • Work independently and exercise sound judgment.
  • Communicate clearly and concisely, both orally and in writing.
  • Work a flexible schedule; available to participate in evening and weekend events.
  • Organize, be analytical, problem-solve and possess project management skills.
  • Work in a fast-paced environment and in an efficient manner.
  • Manage multiple projects and identify opportunities for internal and external collaboration.
  • Motivate and lead multi-program teams and external committees/coalitions.
  • Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Your Physical Requirements (With or Without Accommodations):
  • Ability to visually read information from computer screens, forms and other printed materials and information.
  • Ability to speak (enunciate) clearly in conversation and general communication.
  • Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
  • Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
  • Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Ways We Are Here For You
  • You'll enjoy competitive compensation for this role.
    • Our current hiring range is: Pay Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947).
      • The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.
  • This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**)
  • A comprehensive benefits package
  • CalPERS pension program and additional retirement packages.
  • Additional benefits and perks including:
    • A generous PTO program
    • A quality work life balance
    • Various wellness programs
    • Tuition Reimbursement
    • Professional development opportunities
    • Career development opportunities
    • Flexible scheduling
    • And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.

Our Work Environment:
If located at the 500, 505 Building or a remote work location:
  • Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
  • There are no harmful environmental conditions present for this job.
  • The noise level in this work environment is usually moderate.

If located at PACE:
  • Work is typically indoors in a clinical setting serving the frail and elderly.
  • There may be harmful or hazardous environmental conditions present for this job.
  • The noise level in this work environment is usually moderate to loud.

If located in the Community:
  • Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
  • Employee will occasionally work outdoors in varied temperatures.
  • There may be harmful or hazardous environmental conditions present for this job.
  • The noise level in this work environment is usually moderate to loud.

Why Join Us?
We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare.
What's Your Next Step?
All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is June 24, 2026 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
Our Commitment to You
Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview.
If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.
CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.
To apply, please visit: https://jobs.caloptima.org/jobs/program-manager-provider-data-operations-505-city-parkway-west-california-united-states-5ab9859d-5a4d-4b1d-bec1-ca091168a1dc
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