Provider Operations Manager

4 days ago


Durham, United States Elevance Health Full time

Provider Operations Manager - Provider Data Location: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location. The Provider Operations Manager - Provider Data is responsible for developing, executing, and delivering operational readiness plans for provider experience strategic initiatives. Will be primarily focused on managing provider data for national providers. How you will make an impact: • Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members. • Coordinates the development and delivery of required training to support the needs of the project team and operational/production users. • Facilitates development and delivery of job aids for production operational users. • Monitors overall impact to Provider Experience Key Performance Indicators to identify and facilitate changes. • Manages pre and post-implementation claims audits to identify and facilitate changes to provider experience processes. • Provide subject matter expertise support for projects and Small Systems Change Requests delivery. • Leads and defines standards for provider experience business applications. • Identifies, leads, and/or participates in targeted continuous improvement activities. Minimum Requirements: BA/BS degree in Business or related field and a minimum of 5 years within a healthcare organization supporting operations, provider, or claims including experience with delivery of business systems and/or process improvement; minimum of 5 years of provider experience in business disciplines within provider experience (provider call center, pricing, provider demographics); or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: • Experience in credentialing, roster management, network adds, and coordinating operations between market and national business rules is strongly preferred. • Project management is a plus. • Elevance Health experience is strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.


  • Operations Manager

    4 weeks ago


    Durham, United States University System Of New Hampshire Full time

    Under the supervision of the Assistant Director of Employer Relations, the operations manager leads and manages operations, events, and programs for Career and Professional Success. The operations manager will collaborate with Ca. PS staff and employ Operations Manager, Operations, Manager, Project Management, Manufacturing


  • DURHAM, United States WellCare of North Carolina Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position is based in Greenville, NC area. Position Purpose: Maintain...


  • Durham, North Carolina, United States Delight Restaurant Group Full time

    body {font-family: Arial, sans-serif;}District Operations ManagerAbout the Role:We are seeking a skilled District Operations Manager to join our team at Delight Restaurant Group. As a critical member of our management team, you will be responsible for driving sales growth, improving customer satisfaction, and ensuring operational excellence across our...

  • Operations Manager

    2 months ago


    Durham, United States Systems Plus, Inc. Full time

    Candidates must be residents of DC, MD, or VA.Daily Responsiblities: Ensure all hosted application software is operational.Monitor system performance to ensure optimal application development performance.Required Education and Experience:Education:B.S. in Computer Science, Information Technology Management or Engineering or related or · four years of...


  • Durham, United States Diamond Peak Recruiting Full time

    Job Summary: The HVAC Operations Manager will oversee the HVAC division’s operations, from project planning and execution to client satisfaction and team performance. This role requires a strong background in HVAC systems, project management, and team leadership, ideally within an MEP subcontractor setting. The Operations Manager will ensure all projects...


  • Durham, North Carolina, United States Nothing Bundt Cakes - DurhamChapel Hill Full time

    Job Title: Bakery ManagerThe Nothing Bundt Cakes - Durham/Chapel Hill Bakery Manager directs the team and day-to-day operation, ensuring a superior guest experience, cake production, brand presentation, work environment, and inventory control. This role drives sales and profitability while maintaining the highest quality cakes and a warm, welcoming...


  • Durham, North Carolina, United States Nothing Bundt Cakes - DurhamChapel Hill Full time

    Bakery Manager Job DescriptionAt Nothing Bundt Cakes - Durham/Chapel Hill, we are seeking a highly motivated and experienced Bakery Manager to lead our team and drive sales and profitability. As a key member of our management team, you will be responsible for directing the day-to-day operations of the bakery, including guest experience, cake production,...


  • Durham, North Carolina, United States LCG, Inc. Full time

    Job DescriptionLCG, Inc. is seeking a highly skilled Data Center Lead to oversee the day-to-day operations, hardware/systems modernization, and lifecycle management of the Client Data Center located on its Durham, NC campus.This role includes managing on-premise data center facilities, hybrid cloud environments, virtual machines, and containerization...


  • Durham, North Carolina, United States KBI BioPharma Full time

    Job Summary: We are seeking a highly skilled Facilities Engineer to join our team at KBI Biopharma. The successful candidate will be responsible for coordinating, modifying, maintaining, and administering company facilities and equipment.Key Responsibilities:Direct concurrent engineering projects, balancing technical and project management aspects for...


  • Durham, North Carolina, United States Golden Corral Full time

    Golden Corral Kitchen Manager Job DescriptionAt Golden Corral, we are seeking a highly skilled and experienced Kitchen Manager to join our team. As a key member of our restaurant operations management team, you will be responsible for ensuring the highest standards of food quality, production, and cleanliness for our guests.Key Responsibilities:Oversee food...


  • Durham, North Carolina, United States Public Storage Full time

    Company OverviewPublic Storage is the leading self-storage industry provider, renowned for its commitment to customer satisfaction and employee growth opportunities. With a strong presence across the nation, we offer a unique blend of flexibility and stability for ambitious professionals seeking a challenging and rewarding role.SalaryOur Public Storage...


  • Durham, United States RXO, Inc. Full time

    Accelerate your career at RXO.  RXO is a leading provider of transportation solutions. With cutting-edge technology at the center, we’re revolutionizing the industry with our massive network and commitment to finding solutions for every challenge. We create more efficient ways for shippers and carriers to transport goods across North America. As a...


  • Durham, North Carolina, United States GPAC Full time

    At GPAC, we are seeking an experienced Senior Construction Operations Manager to lead our commercial construction projects in the Raleigh/Durham area.About UsWe are a leading search firm specializing in placing quality professionals within multiple industries across the United States since 1990. Our mission is to deliver exceptional results using...


  • Durham, North Carolina, United States TradeLink Solutions Company Full time

    Custom Home Building Leadership OpportunityA leading company in the custom home building industry seeks an experienced General Manager to lead their Durham-Hillsborough NC office.The ideal candidate will have a strong work ethic, problem-solving skills, and knowledge of residential construction. Familiarity with local vendors, subs, and the...


  • Durham, North Carolina, United States Summit Hospitality Group Full time

    Job Title: Guest Services ManagerJob Summary:The Guest Services Manager for Summit Hospitality Group is responsible for overseeing the front desk operation, including staff training, inter-department communication, and scheduling. This role requires strong leadership and communication skills to resolve guest problems promptly and efficiently. Key...


  • Durham, North Carolina, United States Southern Veterinary Partners Full time

    Established in the heart of South Durham, NC, our state-of-the-art animal hospital at Southpoint Mall has earned a sterling reputation for delivering exceptional care to pets and their owners. With a team of 5 esteemed veterinarians and a staff of skilled professionals, we've been dedicated to providing top-notch medical services and compassionate customer...


  • Durham, North Carolina, United States Caffè Nero Full time

    At Caffè Nero, we're all about our people and the experience we provide. If you're passionate about delivering exceptional customer service and growing your team, this role could be the perfect fit.As an Assistant Manager, you'll play a key part in running the store, ensuring our high standards of coffee and food are met and our customers leave with a...


  • Durham, North Carolina, United States Brenntag Full time

    Job Title: Warehouse Team Leader - 1st ShiftLocation: Durham/USAEmployment Type: ArbeitnehmerJob Summary:We are seeking a highly skilled Warehouse Team Leader to join our team in Durham. As a Warehouse Team Leader, you will be responsible for overseeing the daily operations of our warehouse, ensuring that all shipments are received and processed...

  • Operations Associate

    4 months ago


    Durham, United States Piper Companies Full time

    Piper Companies is seeking an Operations Associate for a growing organization in Durham, North Carolina. The Operations Associate will support the operations team within various functions of the business. The Operations Associate will be customer facing (internally and externally) and must possess a strong passion for customer service. The Operations...


  • Durham, United States American Family Care Full time

    Benefits/PerksGreat small business work environmentOnsite CME Company OverviewAmerican Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and...