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Provider Operations Manager Jobs in Kentucky (NOW HIRING)

Sentara Healthcare Inc

$70 - $116/hr

The primary role of the Team Coordinator is to manage the day-to-day activities regarding provider ... to increase operational effectiveness. * This position will also be responsible for the ...

New

ShipMonk

Operations Manager

Louisville, KY · On-site

Our Operations Managers drive immense business and personal growth within ShipMonk's rapidly ... We provide cutting-edge technology and a network of owned and operated fulfillment centers that ...

ShipMonk

Operations Manager

Louisville, KY

Our Operations Managers drive immense business and personal growth within ShipMonk's rapidly ... We provide cutting-edge technology and a network of owned and operated fulfillment centers that ...

CVS Health

Operations Manager

Bowling Green, KY · On-site

$18 - $28/hr

Position Summary The Operations Manager is a member of the Store Management team, and as such ... Additional details about available benefits are provided during the application process and on ...

CVS Health

Operations Manager

Hazard, KY · On-site

$18 - $28/hr

Position Summary The Operations Manager is a member of the Store Management team, and as such ... Additional details about available benefits are provided during the application process and on ...

Eckart

Operations Manager

Louisville, KY · On-site

Description Operations Manager We are seeking an experienced Operations Manager to lead daily ... OUR MISSION "Stock It, Know It, and Stand By It" OUR VISION Eckart LLC strives to provide the ...

CVS Health

Operations Manager

Georgetown, KY · On-site

$18 - $28/hr

Position Summary The Operations Manager is a member of the Store Management team, and as such ... Additional details about available benefits are provided during the application process and on ...

Eckart Supply

Operations Manager

Lexington, KY · On-site

Operations Manager We are seeking an experienced Operations Manager to lead daily operational ... OUR MISSION "Stock It, Know It, and Stand By It" OUR VISION Eckart LLC strives to provide the ...

Eckart Supply

Operations Manager

Louisville, KY · On-site

Operations Manager We are seeking an experienced Operations Manager to lead daily operational ... OUR MISSION "Stock It, Know It, and Stand By It" OUR VISION Eckart LLC strives to provide the ...

Eckart

Operations Manager

Lexington, KY · On-site

Operations Manager We are seeking an experienced Operations Manager to lead daily operational ... OUR MISSION "Stock It, Know It, and Stand By It" OUR VISION Eckart LLC strives to provide the ...

Eckart

Operations Manager

Louisville, KY · On-site

Operations Manager We are seeking an experienced Operations Manager to lead daily operational ... OUR MISSION "Stock It, Know It, and Stand By It" OUR VISION Eckart LLC strives to provide the ...

Eckart

Operations Manager

Lexington, KY · On-site

Description Operations Manager We are seeking an experienced Operations Manager to lead daily ... OUR MISSION "Stock It, Know It, and Stand By It" OUR VISION Eckart LLC strives to provide the ...

Spinoso Real Estate Gro

Operations Mgr

Louisville, KY · On-site

Manage property service providers to include establishing scope of work, soliciting qualified bids ... operations staff or service providers * Knowledge and ability to use common software programs ...

Centellic

Marketing Operations Manager

Erlanger, KY · On-site

$70K - $75K/yr

Participate in client meetings and status calls alongside Senior Client Marketing Manager, providing operational updates and campaign insights. * Respond to routine client requests and coordinate ...

Amazon

Operations Manager

Louisville, KY

To achieve this, managers are expected to provide their team with the tools needed for success ... Our Operation's workflow has three major components: First mile - where the product is housed and ...

Amazon

Operations Manager

Louisville, KY

To achieve this, managers are expected to provide their team with the tools needed for success ... Our Operation's workflow has three major components: First mile - where the product is housed and ...

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Provider Operations Manager information

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.

What are the key skills and qualifications needed to thrive as a provider operations manager?

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 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.

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 popular job titles related to Provider Operations Manager jobs in Kentucky?

For Provider Operations Manager jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Provider Operations Manager jobs in Kentucky look for?

The top searched job categories for Provider Operations Manager jobs in Kentucky are:

What cities in Kentucky are hiring for Provider Operations Manager jobs?

Cities in Kentucky with the most Provider Operations Manager job openings:

Provider Operations Manager jobs near you

Supervisor, Provider Operations - Credentialing - Remote

Sentara Healthcare Inc

On-site

$70 - $116/hr

Other

Medical, Vision

Posted 3 days ago

New

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

534th of 893 rated healthcare providers

Job description

Sentara Health Plans is currently hiring for a Supervisor, Provider Operations - Credentialing - Remote!

Status: Full-time, permanent position (40 hours)

Work hours: 8am to 5pm EST, M-F

Location: Remote opportunities are available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Job responsibilities:
  • The primary role of the Team Coordinator is to manage the day-to-day activities regarding provider data management and credentialing.
  • This position serves as a subject matter expert and will help support, quality assurance, internal and external auditing of the key processes, system compliance and acceptance testing, and process improvements designed to increase operational effectiveness.
  • This position will also be responsible for the documentation of new policies and procedures, the development and maintenance of training materials, and assistance with onboarding new staff.
  • This position will manage a team of up to 10 to 14 credential specialists I and II
Education:
  • HS - High School Grad or Equivalent preferred
Certification/Licensure:
  • None required
Experience:
  • Healthcare- 3 years REQUIRED
  • Health plan experience is preferred
Pay Transparency:

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: 69,742.4- 116,251.2. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

Healthcare, Health Plan, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Credentials Verification Organization (CVO), MCO, Managed Care, HMO, Hospital Based Credentialing (MSO), CPCS, Certified Provider Credentialing Specialist, Provider, Data Management, Network, Contract

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