Business Operations Advisor, Provider Credentialing

## Business Operations Advisor, Provider Credentialing Apply:
Remote Flex
- North Carolina:
Remote Flex
- South Carolina:
Remote Flex
- Virginia:
Full time:
Posted Today:
End Date:
October 23, 2026 (5 days left to apply):
RQ0019377
** Job Description
** We’re hiring a Business Operations Advisor, Provider Credentialing to join the Network Operations Team! Provide department, divisional and/or segment focused business and operational support to include our credentialing committee, operational planning, workforce planning, reporting, data and/or budget analysis, internal/external marketing, and special projects.  
** What You’ll Do
** Business Planning
* Facilitate planning of strategic goals and development of departmental/divisional operational plans.
* May produce segment business plans and analysis under guidance from Segment Lead.
* Coordinate, plan and facilitate various departmental/divisional events (i.e. Departmental Summits, All Hands Meetings, Leadership Planning Sessions, staff meetings) to make them more effective, purposeful and outcomes based.
* Assist with the overall workforce plan and staffing models, taking into account multiple and interrelated initiatives to either increase or decrease headcount, each with their own set of success criteria/outcomes, budget, and duration.  Responsible for tracking employee hires by budget & competency, per the Strategic Plan and other key inputs.
* Aid in the adoption of standard operating procedures and processes for the department and assist with the communication and education of new SOPs outside of the department.
* Lead change management work to support business and process improvements and overall departmental/divisional effectiveness.  Project Coordination
* Handle special projects for the department/division/segment as assigned.  Possible duties could include:
* Assist in the evaluation of potential opportunities to reduce costs/improve efficiencies
* Lead  the review and evaluation of best or next practice opportunities for potential adoption
* Review industry literature and ensure leadership is briefed on current and emerging issues of importance to the organization.
* Serve as lead on engagements with external entities (i.e. consultants) and coordinate data gathering and research efforts based on the direction of leadership.
* Track initiatives/projects for the department/division/segment and may create presentations of initiative/project progress for varied audiences, which may include ILT and Senior Leadership.  Data Analysis/Reporting
* Consolidate and standardize data analysis and reporting for relevant business operations.
* Perform departmental budget analysis, monitor budget forecasts and review progress against administrative cost reduction goals
* Track goal progress, including data collection and analysis of key performance metrics (KPIs)  Business Partnerships
* Accompany leaders to internal and/or external partnership meetings, and capture discussions for follow-up
* Prepare input for Annual Report, CEO/Board reports, and other marketing/communication opportunities with a focus on partnering to deliver communications that are relevant and oriented to specific business partnerships both internal and external.
* Provide support for leadership’s public speaking engagements and/or industry Board and Committee meetings.
* Lead in management of vendor relationships as required by business operations’ needs.  
** What You Bring
*** Bachelor's degree or advanced degree (where required)
* 3+ years of experience in related field
* In lieu of degree, 5+ years of experience in related field  
** Bonus Points (Preferred qualifications)
*** 5+ years of provider credentialing experience is highly preferred.
* Experience working for a health insurance…