{"id":3380179,"url":"https://alion.io/job/devoted-health-provider-operations-manager-credentialing","title":"Provider Operations Manager - Credentialing","company":{"id":58527,"name":"Devoted Health","domain":"devoted.com","url":"https://alion.io/company/devoted-health","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Management","role_family":"Management","seniority":null,"employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Waltham, United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":73000,"max":115000,"currency":"USD","period":"year","gross":null,"usd_annual":115000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[],"status":"live","first_seen_at":"2026-10-27T00:00:00Z","employer_posted_date":"2026-10-27","last_verified_at":"2026-11-01T01:53:43Z","board_verified":true,"closed_at":null,"days_open":5,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":5},"description":"Job Description\nA bit about this role:\nOn the Provider Operations team, we are responsible for credentialing the providers and facilities contracting with our health plan. We built our credentialing program from the ground up, and it credentials providers compliantly in industry-leading timeframes. That lets us build new networks quickly, show operational excellence to our providers, and keeps provider data current and accurate.\nIn our stage of growth, we are focused on implementing AI initiatives and expanding the responsibilities of our offshore team to make our operations faster, more efficient, and ready to scale. We’re looking for a Manager of Provider Operations who is a hands-on operator. You’ll be just as comfortable digging into work queues and untangling a messy case as you are redesigning a workflow or rethinking how a process could run with AI. Priorities will shift, and you’ll shift with them.\nThis is an ideal role for a results-driven leader who is mission driven, process oriented, data obsessed, and energized by change.\nYour responsibilities and impact will include:\nSupporting day-to-day credentialing operations, including working queues yourself, unblocking complex cases, and driving best-in-class turnaround times and quality.\nLeading the effort to capture our operational knowledge in clear, usable SOPs and building a central documentation library that stays current as processes change.\nHelping manage and develop our offshore team, including training, documentation, and quality and productivity monitoring, with the goal of owning the offshore relationship over time.\nPartnering on offshore transitions by identifying work that can move offshore and supporting smooth handoffs without disrupting turnaround times or compliance.\nAssessing operational pain points and using data to size opportunities and build the business case for new solutions using data insights, including quantifying the impact of AI solutions, tech improvements, and offshore transitions before and after they launch.\nCreating and implementing AI solutions that make operations more efficient and enable scale, partnering with product and engineering where needed and testing, measuring, and refining what you build.\nPlaying a key role in our 2027 CVO vendor transition, including workflow mapping, requirements, testing, and cutover, and helping monitor vendor performance once live.\nBecoming an expert in our internal systems and tools so you can troubleshoot issues and propose clear improvements to system logic.\nOwning key operational metrics, building reporting that surfaces trends and bottlenecks, and using data to guide decisions.\nEnsuring credentialing operations remain compliant with CMS, AAAHC, and state requirements as processes and tools evolve.\nPartnering cross-functionally with internal leadership, network and contracting teams, providers, vendors, and offshore partners.\nRequired skills and experience:\n3-5+ years in operations, process improvement, or consulting.\nA true operator with a bias toward action. You’re willing to roll up your sleeves and do the work, not just direct it.\nA clear head for process. You’re passionate about efficiency and can predict and prevent bottlenecks before they happen.\nComfort moving quickly between big-picture strategy and detailed, in-the-weeds execution.\nAbility to shift focus and reprioritize quickly in a fast-paced, evolving environment.\nYou run toward complexity and have the stamina for hard problems.\nDetail-oriented, with a high bar for quality and accuracy.\nAbility and desire to understand and follow complex regulations.\nStrong communicator who can work with cross-functional stakeholders and drive alignment.\nData, systems, and tech savvy, with the ability to build reporting that improves decision-making.\nDesired skills and experience:\nHealthcare experience.\nFamiliarity with credentialing standards and CMS requirements.\nHands-on experience building and deploying AI tools to improve workflows, or a strong track record of applying technology and automation to operational problems.\nExperience with process improvement methodologies. \nSalary Range: $73,000-$115,000/year\nThe pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.\nOur Total Rewards package includes:\nEmployer sponsored health, dental and vision plan with low or no premium\n\nGenerous paid time off\n\n$100 monthly mobile or internet stipend\n\nStock options for all employees\n\nBonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles\n\nParental leave program\n\n401K program\n\nAnd more....\n\n*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.\nFounded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going - all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.\nDevoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.\nAs an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.","description_format":"text","description_chars":7014,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"phd","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Parental leave","Stock options"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Telemedicine & Virtual Care","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-28T04:39:13Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":5,"expected_fill_days":18,"reasons":["conf:4","win:early"],"computed_at":"2026-11-01T06:10:25Z"},"pay":{"stated_usd_annual":115000,"is_top_pay":false},"html_url":"https://alion.io/job/devoted-health-provider-operations-manager-credentialing","json_url":"https://alion.io/job/devoted-health-provider-operations-manager-credentialing.json","meta":{"generated_at":"2026-11-01T10:25:36Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":16120,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-02T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":58527},"rest":"https://alion.io/mcp/rest/get_company?id=58527"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fdevoted-health-provider-operations-manager-credentialing"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fdevoted-health-provider-operations-manager-credentialing"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fdevoted-health-provider-operations-manager-credentialing"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/devoted-health-provider-operations-manager-credentialing\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fdevoted-health-provider-operations-manager-credentialing"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3380179}},{"tool":"search_jobs","arguments":{"company":"devoted.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3380179},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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