Director of Provider Operations – VA

Job Description:

• Report to an Associate VP of Strategy Advancement
• Manage a large operations team
• Build, execute, and oversee manual operations supporting VA CCN Credentialing and Provider Data Loading
• Define operational strategy and priorities aligned with business goals and requirements
• Ensure operational infrastructure remains efficient, reliable, and cost-effective
• Collaborate across Provider teams and Humana Military
• Improve manual work and enhance data quality
• Guide automation priorities
• Manage performance through KPIs, staffing, and capacity planning
• Travel occasionally to Humana offices for training or meetings

Requirements:

• U.S. citizenship required
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
• Candidates currently living in Puerto Rico cannot be hired
• 7 years managing 15+ associates
• 10 years of healthcare operations leadership experience
• 5 years of experience building a large-scale operations team for a new implementation
• Minimum home internet speed of 25 Mbps download and 10 Mbps upload
• Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
• Bachelor's degree preferred
• VA/TRICARE experience preferred
• Provider data management experience preferred

Benefits:

• Bonus incentive plan based upon company and/or individual performance
• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Paid time off
• Company and personal holidays
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance
• Self-provided internet service for home work
• Remote work arrangement
• Occasional travel to Humana offices for training or meetings