Manager, Provider Network Operations

About the role

The Manager, Provider Network Operations is responsible for developing and scaling the clinical provider network for the organization’s Midlife line of business. This role ensures the network’s growth, utilization, retention, and quality by establishing effective processes and collaborating with multiple internal teams. It plays a critical role in maintaining patient access and clinical standards as service volume increases.

The organization operates in the virtual healthcare sector, specializing in medical care for women and children. It addresses challenges in accessing continuous, personalized care throughout pregnancy, postpartum, pediatrics, menopause, and perimenopause by integrating proactive clinical services with technology. Its multi‑disciplinary team works to improve healthcare accessibility for families across the nation.

Responsibilities

• Set and report network capacity targets and address gaps to maintain patient access.
• Collaborate with Recruiting, Licensing & Credentialing, and Learning teams to optimize provider onboarding timelines.
• Manage provider relationships, including orientation, utilization, and retention.
• Define and monitor provider utilization metrics and implement improvements.
• Develop programs to encourage active clinical practice within the network.
• Work with Quality team to establish participation criteria aligned with clinical standards.
• Monitor provider‑level quality data and coordinate actions for performance outliers.
• Support remediation efforts and contract terminations as needed.
• Coordinate across Licensing, Credentialing, Quality, Clinical Ops, and Product teams to support the provider network.
• Create reporting and dashboards to track network health.
• Represent the provider network in organizational planning and flag risks early.

Requirements

• Minimum 3 years of professional experience, including at least 1 year in provider network management or network operations within telehealth.
• Proven ownership of network metrics such as growth, retention, utilization, and quality.
• Experience building and optimizing processes.
• Strong cross‑functional communication skills, able to liaise with Clinical, Product, Compliance, and Commercial teams.
• Analytical skills with data‑driven decision‑making ability.
• Comfortable working in ambiguous, early‑stage environments.
• Preferred: experience in women’s health or managing networks with multiple clinical license types.

Pay

Base salary range: $100,000 – $115,000.

Eligibility for equity participation. Actual compensation may vary based on experience, skills, competencies, and certifications.

Benefits

• Comprehensive Health, Dental, and Vision coverage for employees and their families.
• High deductible Health Plans with Health Savings Account options.
• Flexible Spending Account.
• 401(k) program.
• Competitive vacation policy.
• 16 weeks paid parental leave.
• Fully remote work flexibility within the US.

Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.