Regional Operations Manager
Listed on 2026-02-03
-
Management
Healthcare Management
Job Title
Job Title: Regional Operations Manager
Department: Network Operations
Reports To: Sr. Director of Operations
Travel: May require 30 - 50% travel within the assigned region
Location: Preferred candidate resides in either the Mountain or Pacific Time Zone
Job SummaryThe Regional Operations Manager is responsible for maintaining and enhancing network health in the assigned market area through strategic network development and management of transportation provider relationships. This role ensures contract compliance, oversees credentialing and insurance requirements, and drives network growth to meet capacity and cost objectives. The Operations Manager also provides leadership for special projects, deployments, and network health initiatives, and serves as a subject‑matter expert on platform utilization and digital transformation.
EssentialJob Functions and Responsibilities
- Network Health & Development
- Proactively manage network health in assigned markets by identifying network deficiencies and engaging in ongoing network development.
- Develop and implement strategies to exceed budgeted unit cost while ensuring adequate transportation capacity.
- Support individual provider relations efforts to strengthen the overall network and reduce service gaps.
- Contract Management & Credentialing
- Oversee transportation provider contracts to ensure compliance with performance standards.
- Manage the onboarding and rate negotiations for new transportation providers.
- Enforce credentialing standards for vehicles and drivers, and ensure compliance with all credentialing policies.
- Provider Performance & Compliance
- Conduct regular performance reviews for providers, implement corrective action plans, and issue warnings, suspension notices, or penalties when necessary.
- Develop and monitor key performance metrics to maintain high standards across the network.
- Support providers by securing vehicle grants and developing strategies to hire and retain high‑quality drivers.
- Digital Transformation & Platform Utilization
- Act as a subject matter expert for all platform‑based and digital initiatives, ensuring smooth transitions and ongoing utilization.
- Serve as the first point of contact for providers regarding platform‑related issues, facilitating onboarding, and providing ongoing support.
- Relationship Management
- Build and maintain strong relationships with transportation providers and relevant outside agencies.
- Lead quarterly provider meetings, engaging providers to align on goals and expectations.
- Issue Resolution & Quality Monitoring
- Address and resolve provider issues, including handling provider complaint reports and quality monitoring.
- Ensure adherence to all applicable federal, state, and organizational standards.
- Special Projects & Other Responsibilities
- Lead and support special projects as assigned, contributing to overall network health and operational efficiency.
- Other duties as assigned.
- Recruit, develop, and manage a team focused on achieving network and provider‑related goals.
- Set and monitor Key Performance Indicators (KPIs) aligned with corporate goals and mentor employees to achieve them.
- Guide team members in conflict resolution, career development, and project management.
- Promote employee satisfaction and retention through team‑building initiatives and recognition of contributions.
- Oversee budget preparation, analyze variances.
- Initiate corrective actions as needed to maximize performance.
- In‑depth knowledge of quality improvement tools and processes in network development.
- Strong verbal, written, and interpersonal communication skills.
- Ability to work both independently and as part of a team.
- Exceptional time management skills with a self‑motivated approach to work.
- Proficiency in Microsoft Office applications, including Excel, Outlook, and Word.
- Proven conflict resolution skills and people management expertise.
- Strong public speaking and presentation skills.
- Familiarity with Medicare/Medicaid and Non‑Emergency Medical Transportation (NEMT).
- Experience with provider credentialing processes.
- KPI management experience.
- Education: Bachelor’s Degree (or equivalent…
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