Provider Network Operations Director

LTS is seeking an experienced Provider Network Operations Director who be responsible for overseeing provider contracting, negotiations, and service delivery for a nationwide occupational health provider network. This leadership role ensures strong network access, quality service, and alignment with business and customer objectives. The Director will play a key role in managing high-value provider relationships, driving strategic planning with network vendors, and maintaining the performance standards of the provider network. This will require hands-on management of the most important provider partnerships and participation in government and commercial bid opportunities.

LTS is an award-winning enterprise consulting, IT modernization, and healthcare innovations firm. As a leading provider of healthcare IT solutions for both federal agencies and public organizations, LTS has more than 20 years of experience fusing technology, ingenuity, and human-centered experiences to tackle an array of highly complex public health issues.

The LTS Health group is focused on providing technology solutions that improve our nation’s health equity and increase overall access to public health resources. LTS believes technological advances will continue to shape how the healthcare industry provides and improves services. Our internal expertise within IT Solutions and collaborations with industry partnerships allow LTS to remain at the forefront of emerging technologies. We continuously evaluate and integrate new technologies to enhance solutions in new models of care that help organizations meet individual care needs by bringing key health-care services closer to home in a cost-effective manner.

Responsibilities And Qualifications

• Lead the development and execution of a comprehensive provider network to meet the company's occupational health goals, including negotiating new contracts, contract renewals, and amendments to ensure strong
• provider network access and solutions nationwide.
• Focus on network adequacy to ensure the quality and consistency of occupational health examinations and services provided by the network.
• Ensure that all service delivery meets contractual requirements, customer expectations, and internal performance targets.
• Oversee vendor performance governance, developing and maintaining reporting and policies to ensure adherence to service level agreements (SLAs) and alignment with business priorities.
• Build and maintain strong relationships with providers, addressing concerns, resolving issues, and ensuring long-term partnerships.
• Participate in the bid and proposal processes for government and commercial opportunities, providing expertise on provider network capabilities, service delivery, and competitive offerings.
• Ensure all contracts meet legal, regulatory, and organizational requirements.
• Track and report on provider network performance, including cost, utilization, quality outcomes, and member satisfaction.
• Address performance concerns with providers and develop corrective action plans as necessary.
• Collaborate with internal teams to ensure provider network operations align with business objectives.
  
  

Requirements

• Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field.
• Minimum 10 years of experience in provider network management, contracting, and negotiations, with a focus on occupational health or related healthcare sectors.
• Proven experience in negotiating and managing healthcare provider contracts.
• Strong knowledge of vendor management, performance governance, and regulatory compliance.
• Excellent leadership, project management, and organizational skills.
• Strong negotiation, analytical, and problem-solving abilities.
• Knowledge of healthcare delivery systems, managed care principles, and provider networks.
• Ability to build and maintain strong provider relationships.
• Excellent communication skills with the ability to interact effectively at all levels of the organization and with external stakeholders.
• Proficiency in Microsoft (Office Suite, Excel, PowerPoint, Adobe, Teams) and HR systems
• Entrepreneurial spirit and a solid growth mindset
• High standards of Ethics/Integrity.
  
  

LTS is committed to offering eligible employees comprehensive benefits that will provide them with options intended to meet their needs and the needs of their family.

LTS is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.