Sr. Manager Provider Operations (Healthcare)

Location: Remote USA

Salary: $110,500–$151,000 per year

Company

hirify.global is a healthcare company improving the health and well-being of older Americans through an integrated care platform combining data, AI, clinical services, and member support.

What you will do

• Own provider data accuracy across roster intake, credentialing, validation, verification, remediation, and directory publication.
• Manage provider directory compliance, including CMS Medicare Advantage requirements, audit-ready documentation, regulatory inquiries, and audits.
• Lead, hire, train, and scale a hybrid onshore and offshore operations team.
• Improve signal-driven accuracy infrastructure, verification queues, quality frameworks, metrics, and service-level agreements.
• Partner with product, engineering, network, compliance, and care navigation leaders to improve directory functionality and data quality.
• Automate manual validation work and evaluate vendor relationships supporting provider data operations.

Requirements

• Bachelor’s degree and at least 6 years of relevant experience, including 2 or more years managing a team.
• Experience in a health plan or healthcare operations, with ownership of provider data, directories, credentialing, or network operations.
• Working knowledge of CMS Medicare Advantage directory and network adequacy requirements.
• Ability to analyze data sets, generate insights, and translate findings into operational action.
• Experience building repeatable processes with measurable quality outcomes, QA frameworks, and documented workflows.
• Strong communication, stakeholder management, organization, and prioritization skills.

Nice to have

• Experience scaling offshore or vendor delivery teams.
• Experience applying AI and automation to operational work.
• Regulatory audit or corrective action plan experience.
• SQL or equivalent ability to query and validate provider data.
• Comfort working in a fast-paced, metrics-driven environment with ambiguity.

Culture & Benefits

• Employer-sponsored health, dental, and vision plans with low or no premium.
• Generous paid time off and a parental leave program.
• $100 monthly mobile or internet stipend.
• Stock options and bonus eligibility for eligible full-time roles.
• 401(k) program and a supportive, collaborative work environment.