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Provider Operations Manager Jobs (NOW HIRING)

Oscar Health

Director, Provider Operations

Tempe, AZ · Hybrid

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

New York, NY · Hybrid

$163K - $215K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

Tempe, AZ · On-site

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

Atlanta, GA · Remote

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

Tempe, AZ · Hybrid

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

New York, NY · Hybrid

$163K - $215K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

SBM Management

Operations Manager

Rahway, NJ

$80K - $90K/yr

Operations Manager- MIT Manager in Training (MIT) Position- Operations Manager Are you an ... SBM's Manager in Training (MIT) program provides a structured pathway to refine your management ...

ByteBridge

Operations Manager

Hayward, CA · On-site

Monitor KPIs and provide operational reporting and performance analysis * Support sales operations, including quote-to-order processes, forecasting, and CRM/ERP data management * Coordinate handoffs ...

CIRCULAR CRV ASSOCIATION

Operations Manager

Los Angeles, CA · On-site

$110K - $130K/yr

Provide regular updates to Association leadership concerning redemption operations, with a focus on ... Manage and oversee third-party redemption contractors to ensure compliance with all contractual ...

APS Health Care PR

PR · On-site

The Manager Provider Network supervises the APS Provider Department operations, pertaining to credentialing, re-credentialing, provider data systems, contracting document production, provider ...

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Provider Operations Manager information

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$63.5K

$118.5K

How much do provider operations manager jobs pay per year?

As of Jul 21, 2026, the average yearly pay for provider operations manager in the United States is $63,456.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $77,500.00 per year, depending on experience, location, and employer.

What does an operations manager do in healthcare?

A healthcare operations manager oversees daily clinical and administrative functions to ensure efficient delivery of services. They coordinate staff, manage budgets, implement policies, and use data analysis tools to improve operational performance and patient care quality.

What is a Provider Operations Manager?

A Provider Operations Manager is responsible for overseeing the daily operations and performance of healthcare provider networks within an organization. They ensure that providers comply with company policies, regulatory requirements, and quality standards. Their duties often include managing provider onboarding and credentialing processes, resolving operational issues, and improving provider relations. By streamlining these processes, they help maintain efficient healthcare delivery and enhance patient outcomes.

Is operations manager a high position?

An operations manager is typically considered a mid- to senior-level management role responsible for overseeing daily business activities, implementing policies, and improving efficiency. The position often requires leadership skills, experience, and sometimes certifications, and it can be a stepping stone to higher executive roles such as director or vice president.

What is the highest salary for an operations manager?

The highest salaries for a Provider Operations Manager can reach over $120,000 annually, especially in large organizations or with extensive experience and specialized skills. Compensation varies based on industry, location, and level of responsibility, with senior roles or those in high-demand sectors earning higher pay. Bonuses, benefits, and profit-sharing may also contribute to total compensation packages.

What are the key skills and qualifications needed to thrive as a Provider Operations Manager, and why are they important?

To excel as a Provider Operations Manager, you need strong leadership abilities, analytical skills, and a background in healthcare administration—often supported by a bachelor’s or master’s degree in a related field. Familiarity with healthcare management software, data analytics tools, and compliance systems such as HIPAA is typically required. Exceptional communication, problem-solving, and relationship-building skills help you coordinate effectively with providers and internal teams. These competencies are crucial for ensuring operational efficiency, regulatory compliance, and high-quality service delivery in healthcare organizations.

What is the difference between Provider Operations Manager vs Provider Network Coordinator?

AspectProvider Operations ManagerProvider Network Coordinator
CredentialsBachelor's degree, industry certifications often preferredHigh school diploma or equivalent, relevant certifications beneficial
Work EnvironmentOffice-based, managerial oversight, strategic planningOffice or remote, administrative support, coordination tasks
Employer & Industry UsageHealth insurance companies, healthcare providersHealthcare networks, insurance providers, provider organizations

The Provider Operations Manager typically oversees broader operational functions, including strategy and team management, while the Provider Network Coordinator focuses on maintaining provider relationships and network logistics. Both roles are essential in healthcare organizations but differ in scope and responsibilities.

What are some common challenges faced by Provider Operations Managers, and how can they be addressed?

Provider Operations Managers often encounter challenges such as streamlining communication between healthcare providers and administrative teams, ensuring compliance with regulatory standards, and optimizing operational workflows. Addressing these challenges requires implementing clear protocols, leveraging technology for data management, and fostering a collaborative team environment. Proactive problem solving and continuous training are also key to adapting to evolving regulations and maintaining efficient operations.

How much is the salary of an operations manager?

The salary of a Provider Operations Manager typically ranges from $70,000 to $120,000 annually, depending on experience, location, and the size of the organization. Many roles also include benefits such as bonuses, health insurance, and opportunities for professional development.
More about Provider Operations Manager jobs
What cities are hiring for Provider Operations Manager jobs? Cities with the most Provider Operations Manager job openings:
What are the most commonly searched types of Provider Operations jobs? The most popular types of Provider Operations jobs are:
What states have the most Provider Operations Manager jobs? States with the most job openings for Provider Operations Manager jobs include:
What job categories do people searching Provider Operations Manager jobs look for? The top searched job categories for Provider Operations Manager jobs are:
Provider Operations Manager jobs near you
Infographic showing various Provider Operations Manager job openings in the United States as of July 2026, with employment types broken down into 85% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $63,456 per year, or $30.5 per hour.
Provider Operations Manager

Provider Operations Manager

State of South Dakota

Pierre, SD • On-site

$70K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

State Of South Dakota rating

7.0

Company rating: 7.0 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

40th of 50 rated states

Job description

PLEASE ATTACH THE ADDITIONAL REQUIREMENTS LISTED AT THE BOTTOM OF THIS PAGE
Job ID: 36745
Agency: Department of Human Services - Division of Long Term Services and Supports
Location:Pierre, SDSalary: $70,672.54 Annual Salary, depending on qualifications
Pay Grade: K
Closing Date: 7/30/26
This is a Full-Time 40 Hours Weekly position with the Department of Human Services - Division of Long Term Services and Supports. For more information on the Department of Human Services, please visit https://dhs.sd.gov/en/ltss.
About DHS:
The South Dakota Department of Human Services encompasses a broad field dedicated to offering services that support older adults and individuals with disabilities. Our programs promote independence and inclusion through person-centered services. DHS comes together with the common goal of bettering the lives of South Dakotans.
DHS strives to create an environment where people are inspired and challenged to create excellence, grow their skills, discover advancement opportunities, and are rewarded for their contributions. Join our team as we focus on helping our fellow human beings overcome adversity and reach their full potential.
Our Benefits Include:
  • 15 days/120 Hours of Vacation Leave
  • 14 days/112 Hours of Sick Leave
  • 11 Paid Holidays
  • Employee health insurance includes plan with a $0 premium for employee-only coverage
  • Flexible Benefits - Dental, Vision, Life Insurance, Critical Illness and more
  • Paid Parental & Family Medical Leave
  • 6% Fully Matched Retirement Plan
  • Reduced Tuition for In-State Colleges/Universities
  • Employee Wellness Program
  • Continued Education/Training Opportunities

Job Summary:
The Provider Operations Manager plays a key role in supporting the administration and oversight of the Home and Community-Based Options and Person-Centered Excellence (HOPE) Waiver and other Home and Community-Based Services (HCBS) programs within the Division of Long Term Services and Supports. The focus of this role is on statewide provider operations, compliance, systems coordination, and building strong relationships with providers across South Dakota.
The position leads provider management activities for HCBS providers and serves as a primary operational point of contact between LTSS, providers, Medicaid, and system vendors. Core responsibilities include provider oversight and technical assistance; claims and billing support; Electronic Visit Verification (EVV) monitoring; provider enrollment and compliance; development of policies and procedures; HCBS Settings Final Rule implementation; provider training and communication; and coordination of provider-related systems and operational initiatives.
This role works closely with LTSS leadership, Medicaid partners, quality assurance teams, and HCBS providers to ensure compliance with state and federal requirements, strengthen provider capacity, support access to services statewide, and improve operational efficiency. The position also supervises support staff and contributes to division-wide strategic planning, system implementation, and quality improvement efforts.
The Ideal Candidate Will Have:
A bachelor's degree in human services, social services, or a related field is preferred, along with knowledge or experience in Medicaid claims, provider operations, or comparable program administration.
Familiarity with Medicaid Home and Community-Based Services (HCBS) programs, waiver operations, quality assurance expectations, and compliance standards.
Knowledge:
  • familiarity with human services programs, community-based supports, or similar health and social service systems.
  • understanding of the state and federal rules that guide program operations, service delivery, and provider oversight.
  • awareness of quality assurance, compliance, and how policies are developed and maintained.

Skills:
  • ability to offer clear guidance and support to providers, partners, and stakeholders.
  • experience coordinating program activities-such as reviewing documents, monitoring performance, and helping ensure compliance.
  • strength in reviewing processes and policies to find improvements and support effective, efficient practices.
  • comfortable supervising, mentoring, and supporting team members in a collaborative environment.
  • strong communication skills, including clear writing, reporting, and positive engagement with internal and external partners.

Ability to:
  • collect and analyze information to help drive decisions and strengthen service delivery.
  • use software systems and databases to organize information, track activity, and produce useful reports.
  • create well-organized, accurate, and timely documentation and correspondence.
  • understand and apply relevant laws, regulations, and policies in daily work.
  • make thoughtful, timely decisions and follow through responsibly.
  • stay organized and flexible while managing multiple priorities and shifting needs.
  • break down complex policy language and turn it into practical guidance for others.
  • provide training, technical help, and support to providers and team members.
  • review service, compliance, or operational data to identify trends and make informed recommendations.
  • balance several active initiatives at once in a fast-moving environment.

Additional Requirements: To be considered, please attach your resume.
This position is eligible for Veterans' Preference per ARSD 55:10:02:08.
The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.
The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information here. This position is a member of Class A retirement under SDRS.
Must apply online: https://gen-stateofsouthdako-trn.inforcloudsuite.com/hcm/xmlhttp/shorturl.do?key=4F9
You must apply online, emailed resumes or submissions will not be accepted.
South Dakota Bureau of Human Resources and Administration
Telephone: 605.773.3148 Email: careers@state.sd.us
http://bhr.sd.gov/workforus
"An Equal Opportunity Employer"
#LI-Onsite

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