Network Operations Sr. Manager - Evernorth - Remote

Candidates who reside within 50 miles of the following locations may be asked to work in person on a hybrid schedule three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.

The Network Operations Senior Manager is responsible for leading the day‑to‑day execution and performance of onshore provider maintenance and offshore provider data management operations. This role owns operational strategy, capacity planning, and performance oversight, with accountability for meeting defined service level, quality, and compliance expectations.

The Network Operations Senior Manager works closely with matrix partners and global service partners (GSPs) to manage inventory, staffing models, and workload distribution across onshore and offshore teams. Through strong collaboration and data‑driven decision making, this role ensures appropriate resourcing, operational readiness, and continuous performance improvement to support network accuracy, provider experience, and downstream business outcomes.

Responsibilities:

Operational Leadership & Performance Management

• Accountable for manager performance in leading onshore provider maintenance and offshore provider data management teams to deliver accurate, timely, and efficient processing of provider adds, terms, and updates.
• Oversees overall operational performance through regular review of service levels, productivity, and quality metrics; develops and executes action plans to address performance gaps and sustain results.
• Accountable for meeting defined performance, accuracy, turnaround time, and compliance expectations across assigned provider data portfolios.

Data‑Driven Insights & Continuous Improvement

• Leads strategic analysis of operational data and reporting to identify trends, risks, and improvement opportunities.
• Proactively recommends enhancements to tools, workflows, and processes to drive operational efficiency, scalability, and data quality.
• Identifies, prioritizes, and facilitates mid‑ to large‑scale operational improvement initiatives impacting provider data accuracy and network integrity.
• Addresses performance and quality findings at the team, cross‑team, and organizational levels, acting as a change leader to remove systemic barriers.

Cross‑Functional & Partner Collaboration

• Engages and communicates with matrix partners (e.g., resource management, capacity planning, technology, and business partners) to develop and execute strategies that improve performance and remove operational challenges.
• Manages relationships with global service partners (GSPs), ensuring alignment on expectations, staffing models, performance outcomes, and continuous improvement initiatives.

People Leadership & Culture

• Builds and sustains a positive, inclusive, and high‑performing team culture through clear communication, engagement, and development of managers and direct reports.
• Provides mentoring and coaching to people leaders to enable successful achievement of goals and development of leadership capabilities.
• Demonstrates managerial courage by addressing performance issues directly and consistently delivering accurate, transparent, and timely messaging to staff.

Compliance & Governance

• Ensures compliance with applicable state and federal regulations, internal policies, and audit requirements related to provider data management and network operations.
• Partners with compliance and audit teams to support reviews, issue remediation, and ongoing risk management.

Communication & Executive Reporting

• Effectively communicates operational performance, risks, and improvement initiatives verbally and in writing to senior leaders.
• Ensures consistent dissemination of information, priorities, and expectations to teams and stakeholders.

Qualifications:

• Bachelor’s degree or higher strongly preferred or equivalent work experience required
• 5+ years of experience in operations management, network operations, or provider data management required
• 3+ years of people leadership experience, including managing managers or supervisors preferred
• Experience leading onshore/offshore or global service delivery models
• Strong analytical skills with the ability to translate data into actionable insights
• Proven ability to lead change and drive continuous improvement initiatives

• Experience in healthcare network operations, provider data management, or credentialing
• Strong executive communication and stakeholder management skills

If you will be working at home occasionally or permanently, the internet connection must b