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VP Network Operations
Devoted Health. Own the operational backbone of Devoted's provider network through provider data and performance decisions .
Posted 11/2/2026full-timeRemote • New Hampshire • United StatesLead💰 $257,500 - $293,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in managing provider network operations, including provider data management, contract configuration, and credentialing, while leading high-performing teams to achieve operational excellence in a health plan environment. Proficient in scaling network operations and implementing technology solutions to enhance performance and compliance with Medicare Advantage standards.
Highest-signal resume keywords
Provider Network Operations ManagementMedicare Advantage KnowledgeSenior Leadership ExperienceProvider Data Management ImplementationOperational KPI Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Data ManagementContract ConfigurationCredentialingClaims ConfigurationProcess RedesignData GovernancePerformance ManagementFinancial ReviewUnit Cost AnalysisMarket Trend Interventions
Soft Skills
Team LeadershipCollaborationStrategic VisioningCommunicationVendor Management
Tools & Technologies
MDM PlatformsRoster AutomationAI SolutionsRPA SolutionsFHIR Standards
Industry Keywords
Health Plan ExperienceManaged CareCMS Network Adequacy StandardsNCQA Credentialing StandardsD-SNP ProductsC-SNP Products
Tech Stack
Tools & technologiesRPA
About the role
Key responsibilities & impact- Own the operational backbone of Devoted's provider network through provider data and performance decisions
- Scale a performance management operation overseeing thousands of providers with automated, data-driven processes
- Report to the SVP / Chief Network Officer and lead a team
- Partner with Network Contracting, Engineering, Claims, Compliance, Finance, and Devoted Medical
- Set the vision, roadmap, budget, staffing model, and vendor strategy for Network Operations
- Build a high-performing team aligned with market expansion plans and annual CMS bid cycles
- Ensure negotiated agreements are loaded and configured accurately for claims payment
- Reduce contract-to-configuration cycle times and payment errors with Claims and Payment Integrity
- Lead provider engagement and build a provider performance scorecard
- Assist markets with providers’ financial review, unit cost analysis, and market trend interventions
- Partner with Engineering and Product to automate high-volume workflows
- Build KPIs and dashboards enabling Network Operations to scale without proportional headcount growth
Requirements
What you’ll need- 12+ years of health plan or managed care experience, including 7+ years leading provider network operations functions such as provider data management, contract configuration, credentialing, or provider service
- 5+ years of senior leadership experience managing multi-layered teams (directors and managers) and external vendor or BPO partners
- Deep knowledge of Medicare Advantage network requirements, including CMS network adequacy standards and HSD submissions, provider directory requirements (including Medicare Plan Finder submissions), NCQA credentialing standards, and audit readiness
- Demonstrated experience translating complex provider contracts and payment methodologies (fee-for-service, capitation, and value-based arrangements) into accurate claims configuration
- Proven record of improving operational KPIs through process redesign, data governance, and technology
- Bachelor's degree or equivalent combination of education and experience
- Experience scaling network operations through multi-state expansion at a high-growth or technology-enabled health plan, including D-SNP and C-SNP products
- Hands-on experience implementing provider data management or MDM platforms, roster automation, AI or RPA solutions, and FHIR-based provider directory standards
Benefits
Comp & perks- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above
- Parental leave program
- 401K program