Senior Network Operations Manager, Specialty Care
Skills
- Provider network management and vetting
- Project management and process design
- Data analysis to evaluate provider quality and operational efficiency
- Experience with referral workflows and SOP documentation
- Cross-functional stakeholder management and collaboration
- Strong written and verbal communication
- Attention to detail and follow-through
- Comfort with ambiguity and rapid iteration
Responsibilities
- Lead and manage vetting process for higher levels of care (HLOC) providers across multiple specialties and establish critical external partnerships
- Support customer-specific provider vetting to ensure key accounts have access to trusted, high-quality partners
- Design, build, and maintain an internal provider vetting framework in partnership with Provider Operations and Clinical teams
- Define and document vetting criteria, workflows, and feedback loops with internal stakeholders
- Conduct external research and outreach to identify high-quality providers, facilities, and services
- Act as primary operational point of contact for external provider organizations during outreach and initial assessments
- Collaborate with Clinical and Sales & Customer Success to align network growth with member needs and customer expectations
- Design and document SOPs for referral processes and optimize workflows
- Identify opportunities to leverage AI and automation for referral support and workflow efficiency
- Troubleshoot and evolve internal referral pathways and track key metrics to improve referral success and partner performance
Education
- Bachelor's degree in healthcare, business, public health or related field preferred (or equivalent experience)
- Master's degree in related field preferred but not required
- Clinical licensure not required
Benefits
- Health, dental, and vision starting day one; HSA/FSA options and employer HSA contributions
- Employer 401(k) match up to 2%
- Annual allotment of no-cost visits to Spring Health network for employees and dependents
- Competitive paid time off, sick leave, and company holidays
- Parental leave (18 weeks birthing, 16 weeks non-birthing) after 6 months tenure
- Access to One Medical, Noom, Carrot fertility support, Wellhub, BrightHorizons
- Up to $1,000 professional development reimbursement annually
- $200/year donation matching
- Stock options as part of total rewards
Average salary estimate
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