Provider Operations Manager - Remote

Do you crave a career that truly makes an impact in people’s lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day

Leidos QTC Health Services is seeking a Provider Operations Manager on our Provider Employee team. The Provider Operations Manager is responsible for team performance, in regard to provider operations, retention, and satisfaction. This position manages processes and procedures to ensure timely and quality completion of provider acquisition, works internally and cross-functionally to drive improvement for all phases of the provider life cycle, with emphasis on the provider identification, negotiation, management, and credentialing phases.

Primary Responsibilities:

• Oversee Regional Managers and strategic sourcing team to ensure the effectiveness of network for all programs.
• Responsible for specific team performance in order to achieve operational goals in regards to provider training, retention and satisfaction
• Arrange contract management and credentialing services with healthcare provider networks
• Direct training of team members on workflows and contractual modifications in an efficient and timely manner 
• Conduct research to identify providers within designated markets
• Create, maintain, and carry out schedules that ensure deadlines are reached
• Partner with liaison management and support teams to identify provider problems and complaints to develop and implement action plans in order to enhance provider support and experience efficiency
• Responsible for the daily operational workflow, including communication with internal and external partners, resolution of customer issues, and identifying workflow concerns for specific cases and employees
• Use provider systems to manage and produce reports and analyses
• Negotiate and reviewing contract requirements with providers interested in partnership through communication QTC’s core values
• Manage processes focused on exceptional customer service, effective provider utilization, and immediate resolution of provider issues
• Ensure utilization of best practice workflows to ensure operational excellence and seek improvements in order to automate recurring processes
• Responsible for monthly and quarterly operational analysis and reporting 

Required Qualifications:

• Bachelor’s degree from an accredited college preferably in a healthcare or business-related field or equivalent experience/combined education
• Minimum 7 years of leadership experience in the areas of Healthcare Management, management consulting, and managing provider networks
• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

Preferred Qualifications:

• 3-5 years direct hands-on experience in a clinical setting

About Leidos QTC Health Services

Leidos QTC Health Services collaborates closely with government and non-government customers to address current and future program needs within the health services domain. We specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing technologies that improve service delivery, with a particular emphasis on enhancing accessibility for examinees in rural communities. With a proven track record of continuous improvement and steady growth, we now handle over 2 million appointments annually. Visit www.qtcm.com for more information.

Compensation and Benefits

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here.

This role may fall under the Service Contract Act (SCA), a federal law which provides for a U.S. Department of Labor-prescribed minimum prevailing rate of pay and certain benefit levels. Where appropriate, Company-provided benefit plans such as comprehensive leave, holiday, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations. 

Commitment to Non-Discrimination

All qualified applicants will receive consideration for employment without regard to sex, race, ethnicity, age, national origin, citizenship, religion, physical or mental disability, medical condition, genetic information, pregnancy, family structure, marital status, ancestry, domestic partner status, sexual orientation, gender identity or expression, veteran or military status, or any other basis prohibited by law. Leidos QTC Health Services will also consider for employment qualified applicants with criminal histories consistent with relevant laws.