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Noridian Healthcare Solutions, LLC

Manager Operations - Provider Enrollment

Posted a day ago
$68928.86 - $104K per year
5-10 years experience
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AI Summary

The Operations Manager provides leadership, planning, and reporting to ensure the business unit meets contractual expectations and budget constraints. They are responsible for coaching staff, initiating process improvements, and maintaining strong internal controls and compliance programs.

* Position is Eligible for Remote / Work from Home Opportunity *

Department: Provider Enrollment

Job Grade: E13

As a condition of employment physical work location must be in one of the 50 states or the District of Columbia.

Notice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com) 

Job Title

Manager Operations

Job Summary

The Operations Manager provides guidance, leadership, planning, and reporting to the assigned business unit.  This position ensures the assigned business unit is administering the organizations contracts with the best possible service while maintaining contract expectations and within budget constraints and optimizing staffing levels.

Essential Functions

Key Duties/Responsibilities/Accountabilities

  • Coaches and develops staff by encouraging growth and ensuring staff are meeting performance expectations
  • Ensures the organization meets all contractual expectations
  • Manages budgets and works to meet requirements with available funding
  • Ensures responsiveness to audit findings and implements timely changes as appropriate
  • Ensures strong internal controls and compliance programs within responsible operations
  • Initiates process improvements and technology implementation
  • Initiates disciplinary action when performance does not meet expectations
  • Leads by example by promoting teamwork, recognition, and leadership while demonstrating the company values
  • May provide guidance on evaluating the circumstances of cases related to suspected fraud to support potential investigations and fraud prevention procedures
  • Assist in organizational and corporate growth opportunities
  • Responds to and implements changes in a flexible, positive manner
  • Participates as the area subject-matter expert during business development activities as needed

Non-Essential Duties and Functions

  • Other duties as assigned

Minimum Qualifications

  • Bachelor's degree in Business Administration, Management, or closely related field or equivalent work experience as determined by HR
  • 4 years' experience managing staff
  • Knowledge of management theories and practices
  • Understands computer information systems
  • Knowledge of basic accounting practices

Preferred Qualifications

Above requirements and the following:

  • Bachelor's degree in Business Administration or Management
  • 5 years' experience managing staff
  • Strong written and oral communication skills
  • Ability to motivate and manage a large group of people
  • Ability to direct and maintain a productive and conducive working environment
  • Ability to coordinate activities among co-workers
  • Ability to develop problem solving skills within staff
  • Strong analytical skills

Environment and Cognitive/Physical Demands

  • Office Environment
  • Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
  • Requires prolonged sitting and telephone use
  • Requires the use of office equipment such as computer terminals, telephones, copiers, and printers
  • Infrequent lifting to 15 pounds
  • Infrequent stooping

Segregation of Duties

Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.

Statement of Other Duties

This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions.  Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.

Total Rewards Package:

Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.

CMS Access Compliance and Regulation Contingency Statement

Some positions require compliance with (i) federal and agency-specific regulations and federal contract requirements, and (ii) eligibility to obtain and maintain federal identity credentials and authorized access to government facilities, information systems, networks, sensitive information, or applications.

To obtain federal identity credentials and authorized access, employees in this position may be required, as a condition of employment, to successfully complete federal identity verification, federal background investigation and adjudication, credentialing, and access authorization processes in accordance with applicable federal requirements. Federal identity credentials and authorized access will not be issued to candidates who have not resided in the United States at least three (3) out of the last five (5) years.

Failure to obtain and maintain eligibility for required federal credentials and access authorization may result in removal from the position or termination of employment. 

Equal Employment Opportunity

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. 

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Below is the salary range for potential new hires.

Salary Range: The pay range for this position is $68,928.86 – $104,299.96 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Other Compensation: Incentive Plan & Lifestyle Benefit

This job will be closed 10/30/2026 at 8:00AM CST.  No further applications will be considered. 

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