Provider Operations Manager Jobs in Concord, NC (NOW HIRING)

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Summary of Position

The Government Provider Operations Analyst is responsible for managing the Teladoc Health Medical Group Medicare and Medicaid provider networks. The Government Provider Operations Analyst works closely with Clinical Operations teams and directly with Teladoc Health Medical Group, P.A. (THMG) practitioners to complete group and individual Medicare/Medicaid enrollment applications, verify and manage Medicaid network composition, manage affiliation status between group and individual practitioners and provide network reporting of such operations.

• Manage individual practitioner Medicare and Medicaid networks (60%):
  • Perform periodic verification of individual practitioner enrollment status in Medicare and Medicaid programs
  • Affiliate Medicaid enrolled individual practitioners to THMG Medicaid group enrollments
  • Provide administrative support to individual practitioners to complete Medicaid enrollment applications, including but limited to pre-populating application data, collecting required documents and submitting applications to Medicaid agencies
  • Add/remove individual practitioners from Medicare/Medicaid networks on consultation platform
• Support THMG group enrollments (15%):
  • Complete group Medicaid enrollment applications by collecting required documents, completing and submitting application forms and communicating directly with Medicaid agencies throughout approval process
  • Complete periodic Medicaid revalidation applications
  • Update group enrollments to reflect current THMG network composition
• Complete network reporting and analytics (10%) :
  • Monthly reports of Medicare/Medicaid network status
  • Monthly reports of individual progress towards Key Performance Indicators (KPIs)
  • Ad/hoc reporting to investigate Medicare/Medicaid claims discrepancies
  • Other reporting and analytics support as assigned
• Act as subject matter expert in assigned Medicare/Medicaid networks (10%):
  • Author thorough and up-to-date documentation of assigned network processes
  • Possess a deep understanding of individual and group enrollment requirements
  • Respond to inquiries throughout the organization
• Other duties as assigned (5%)

The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.

Supervisory Responsibilities

No

Qualifications Expected for Position

• 1-2 years' Medicare/Medicaid network management experience preferred
• 2-3 years' experience in a healthcare administrative/operations environment preferred

• The above qualifications, knowledge, experience, and/or background are expected but not required for this role.

  Required license or credential needed to perform job: N/A.

  The below qualifications, knowledge, experience, and/or background are required for this role.

• High school diploma (or equivalent)
• Strong verbal and written communication skills and effectively communicate to all levels of constituents; including providers, team members and senior management
• Effective presentation skills and ability to lead discussions in group environments
• Ability to work independently and collaboratively
• Capable of thriving in a fast-paced environment
• High energy level, enthusiastic, and eager to do what is necessary to be successful
• Ability to adapt to change quickly while meeting aggressive deadlines
• Detail oriented, analytical, and organized
• Intermediate level skills in Microsoft applications such as Excel, PowerPoint, Word and Outlook

The above qualifications, knowledge, experience, and/or background are expected but not required for this role.

Work Environment

Office Remote Hybrid (Office & Remote)

Travel: 10%

Travel percentage reflects an estimate and is subject to change dependent on business needs.

Physical Requirements

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Teladoc Health will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual in line with company policy.

The base salary range for this position is$65,000 - $75,000.In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed hereTeladoc Health Benefits 2026.Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications.This information is applicable for all full-time positions.

We follow a Flexible Vacation Policy, intended for rest, relaxation, and personal time. All time off must be approved by your manager prior to use. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details.

As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.

Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.

Why join Teladoc Health?

• Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission.

• Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.

• Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day.

• Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.

• Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.

• Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.

As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.

Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available at this link.