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Provider Operations Manager Jobs in Rosemount, MN

Solid Ground

Operations Manager

Saint Paul, MN · On-site

$61K - $66K/yr

Supervise the Office Coordinator, including providing coaching, guidance, training, and performance oversight to support effective operations. * Lead front desk operations at Solid Ground's main East ...

Switchback Medical

Operations Manager

Minneapolis, MN · On-site

$100K - $130K/yr

... providing clear direction, coaching, and development opportunities to foster a high-performance culture.  Ensure compliance with relevant regulations, industry standards, and quality requirements ...

Waste Management

Operations Manager

Saint Paul, MN

$74K - $85K/yr

Provide timely and consistent touchpoints with frontline employees across both hauling and transfer ... Successful completion of the WM Operations Manager Trainee program * Demonstrated leadership ...

Waste Management

Operations Manager

Saint Paul, MN · On-site

$74K - $85K/yr

Provide timely and consistent touchpoints with frontline employees across both hauling and transfer ... Successful completion of the WM Operations Manager Trainee program * Demonstrated leadership ...

Waste Management

Operations Manager

Saint Paul, MN

$74K - $85K/yr

Provide timely and consistent touchpoints with frontline employees across both hauling and transfer ... Successful completion of the WM Operations Manager Trainee program * Demonstrated leadership ...

Waste Management

Operations Manager

Saint Paul, MN

$74K - $85K/yr

Provide timely and consistent touchpoints with frontline employees across both hauling and transfer ... Successful completion of the WM Operations Manager Trainee program * Demonstrated leadership ...

CVS Health

Operations Manager

Robbinsdale, MN

$20 - $34/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 ...

Waste Management

Operations Manager

Burnsville, MN

$74K - $80K/yr

Provide timely and consistent touchpoints with frontline employees. * Regular review of best ... Successful completion of the WM Operations Manager Trainee program IV. Physical Requirements Listed ...

Waste Management

Operations Manager

Somerset, WI · On-site

Provide timely and consistent touchpoints with frontline employees. * Regular review of best ... Successful completion of the WM Operations Manager Trainee program IV. Physical Requirements Listed ...

Waste Management

Operations Manager

Somerset, WI

Provide timely and consistent touchpoints with frontline employees. * Regular review of best ... Successful completion of the WM Operations Manager Trainee program IV. Physical Requirements Listed ...

PDS Health

Operations Manager

Saint Paul, MN · On-site

$29.25/hr

Develop and implement an office success plan; including development of staff, and office protocols to provide for efficient operations during manager absences * Other duties and responsibilities as ...

Waste Management

Operations Manager

Somerset, WI

Provide timely and consistent touchpoints with frontline employees. * Regular review of best ... Successful completion of the WM Operations Manager Trainee program IV. Physical Requirements Listed ...

Waste Management

Operations Manager

Somerset, WI

Provide timely and consistent touchpoints with frontline employees. * Regular review of best ... Successful completion of the WM Operations Manager Trainee program IV. Physical Requirements Listed ...

Waste Management

Operations Manager

Burnsville, MN

$74K - $80K/yr

Provide timely and consistent touchpoints with frontline employees. * Regular review of best ... Successful completion of the WM Operations Manager Trainee program IV. Physical Requirements Listed ...

Waste Management

Operations Manager

Burnsville, MN · On-site

$74K - $80K/yr

Provide timely and consistent touchpoints with frontline employees. * Regular review of best ... Successful completion of the WM Operations Manager Trainee program IV. Physical Requirements Listed ...

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All JobsProvider Operations JobsProvider Operations Manager JobsProvider Operations Manager Jobs in Rosemount, MN

Provider Operations Manager information

See Rosemount, MN salary details

$31.7K

$64.9K

$121.2K

How much do provider operations manager jobs pay per year?

As of Jul 17, 2026, the average yearly pay for provider operations manager in Rosemount, MN is $64,877.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,900.00 and $79,200.00 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.
What are popular job titles related to Provider Operations Manager jobs in Rosemount, MN? For Provider Operations Manager jobs in Rosemount, MN, the most frequently searched job titles are:
What job categories do people searching Provider Operations Manager jobs in Rosemount, MN look for? The top searched job categories for Provider Operations Manager jobs in Rosemount, MN are:
What cities near Rosemount, MN are hiring for Provider Operations Manager jobs? Cities near Rosemount, MN with the most Provider Operations Manager job openings:
Provider Operations Manager jobs near you
Director of Provider Operations

Director of Provider Operations

HealthPartners

Bloomington, MN • On-site

$67.65 - $101.47/hr

Full-time

Posted 18 days ago

HealthPartners rating

7.7

Company rating: 7.7 out of 10

Based on 132 frontline employees who took The Breakroom Quiz

158th of 886 rated healthcare providers

Job description


HealthPartners is hiring a Director of Provider Operations. This role provides strategic and operational leadership for Provider Operations with accountability for provider enrollment, provider data and directory operations, network maintenance and configuration, trading partner connectivity, provider portal operations, provider data management, and provider compliance and regulatory operations. They will direct department strategy, people, and performance to ensure accurate provider data, effective operational execution, regulatory readiness, and strong cross-functional coordination, while leading complex initiatives, managing vendor and external partner relationships, and representing the organization in industry and regulatory forums to advance business objectives and operational excellence.
MINIMUM QUALIFICATIONS:
  • Education, Experience or Equivalent Combination:
    • Bachelor degree in health care, business, public administration, IT, project management or related field
    • 7 years experience in health care or insurance industry, health-related project management, provider data/operations or provider network management
    • 5 years in a leadership or management role
  • Knowledge, Skills, and Abilities:
    • Strong understanding of health plan operation workflows from provider contracting to enrollment to claims processing and payments.
    • Working knowledge of regulatory requirements for Medicare, Medicaid, and Commercial lines of business.
    • Proven ability to lead cross-functional teams and manage complex projects.
    • Proficiency in data analysis and reporting tools (e.g., Excel, SQL, PowerBI).
    • Excellent communication, negotiation, and stakeholder management skills.
    • Ability to work in a fast-paced, matrixed environment with competing priorities.
    • Strong interpersonal and collaborative skills to lead and influence teams at all levels of the organization.
    • Solid analytical, project and financial management skills.
    • Ability to offer creative, cost-effective alternatives and options to solve problems and meet customer needs.
    • Strong oral and written communications.

PREFERRED QUALIFICATIONS:
  • Education, Experience or Equivalent Combination:
    • Education: Master's degree in health care management, health care, business, public administration or related field
    • Experience: 10+ years of experience in provider operations or network management with 5+ years in a senior leadership role overseeing multi-line health plan operations (Commercial, Medicare, Medicaid)
  • Licensure/ Registration/ Certification:
    • Six Sigma or PMP (Project Management Professional) certification
    • CPHQ (Certified Professional in Healthcare Quality)
    • WEDI (Workgroup for Electronic Data Interchange) member
  • Knowledge, Skills, and Abilities:
    • Strong understanding of complex data hierarchies and system architecture
    • Working knowledge of HIPAA transactions and related EDI standards
    • Demonstrated ability to establish, monitor, and manage service level agreements
    • Experience leveraging automation and AI-enabled solutions within provider data operations

ESSENTIAL DUTIES:
Strategic Leadership (40%):
  • Develop and execute a comprehensive provider operations strategy aligned with organizational goals and regulatory requirements.
  • Partner with IT and other health plan system owners to develop an integrated enterprise-wide provider data platform.
  • Lead cross-functional initiatives to enhance provider data accuracy and implement cost effective enrollment processes to facilitate quick provider on-boarding, claims submissions and provider payments.

Provider Enrollment Oversight (30%):
  • Oversee contracted provider end-to-end provider data lifecycle including intake of roster and enrollment forms, maintenance of provider data, network participation management, clearinghouse, EFT and web portal enrollment
  • Oversee vendor relationships and performance, ensuring accountability and ROI.

Compliance & Quality (20%):
  • Ensure adherence to federal and state regulations, including CMS and Medicaid guidelines.
  • Collaborate with Provider Relations & Network Management, Legal, Compliance, and Claims teams to mitigate risk and ensure audit readiness.

Analytics & Reporting (10%):
  • Leverage analytics to identify trends, root causes, and opportunities for improvement.
  • Develop and present executive-level reporting on savings, compliance and workload impacts.
  • Monitor data accuracy and turnaround times to ensure internal or compliance goals are met

Team Development (5%):
  • Build and lead a high-performing team of analysts, auditors, and managers.
  • Foster a culture of continuous improvement, innovation, and accountability.

LEADERSHIP RESPONSIBILITY:
Key Areas of Responsibility Include:
Provider Enrollment: Owner of contracted provider enrollment and implementation of various state, national or accreditation requirements ensuring accurate and timely provider information is available to health plan members
  • Network Participation Management: Partner with Provider Relations & Network Management and other administrative teams to develop networks that meet market needs and maintain regulatory compliance.

  • Provider Data Management: In coordination with IT and other administrative systems develop integrated enterprise-wide provider data platform.

  • EDI Trading Partnerships: Oversee clearinghouse strategy and monitor to ensure contract compliance.

  • Provider portal: Responsible for secure account registration management, fraud mitigation and escalation if potential fraud is identified. Monitor effectiveness of portal and impacts to call centers.

  • Innovation (R&D): Conducts research and development to support compliance needs and cost-effective workflow improvements to support functions of the department. Identify and gather ideas from other sources (internally & externally). Assess use and enablement of advanced technologies (AI, gLLM, etc...) with IT input.

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