Operations Project Manager (Non-Technical) Position Available In Miami-Dade, Florida

Operations Project Manager (Non-Technical) Genuine Health Group Coral Gables, FL 33134 • Hybrid work The Operations Project Manager is a key leader responsible for driving provider contracting and network development initiatives, with a primary focus on building and expanding preferred provider specialist networks across all markets. This role ensures the strategic growth of high-performing networks aligned with organizational goals and compliance with CMS regulations. A strong background in healthcare contracting, negotiation, and network strategy is essential, along with an understanding of Medicare Advantage, ACO models, and MSO workflows. The manager will lead contracting processes, support cross-functional teams, and serve as a subject matter expert on regulatory and operational priorities. This role requires excellent Excel skills, presentation development experience, and at least five years of healthcare operations experience. Essential Duties and Responsibilities Lead the development and expansion of preferred provider specialist networks across all markets by identifying gaps and targeting high-performing providers. Oversee all provider contracting activities, including negotiation, execution, maintenance, and renewals of agreements, ensuring timely completion and regulatory compliance. Manage end-to-end onboarding processes for new providers, coordinating across credentialing, data entry, and operational teams. Collaborate with market leaders and internal stakeholders to develop market-specific network strategies based on performance data and adequacy needs. Maintain up-to-date knowledge of CMS guidelines, Medicare Advantage plans, ACO models (e.g., MSSP, ACO REACH), and MSO functions to guide contracting decisions. Represent the department in internal meetings, including compliance reviews, performance updates, and operational check-ins. Utilize Excel to perform data analysis and generate provider performance reports (e.g., VLOOKUP, pivot tables, IF statements). Develop and deliver clear, impactful presentations and slide decks for leadership and external partners. Monitor network compliance with regulatory timelines, quality standards, and audit requirements. Identify opportunities for operational improvements and recommend process enhancements to improve provider satisfaction and internal efficiency. Serve as a subject matter expert on provider network operations, advising leadership and cross-functional partners on best practices. Participate in ACO/CMS-related meetings and stay current on evolving program updates and compliance expectations. Perform other duties as assigned. Knowledge, Skills and Abilities Strong expertise in provider contracting, network development, and healthcare negotiations. Deep understanding of Medicare Advantage, CMS regulations, ACO models, and MSO operations. Excellent communication and relationship-building skills with providers and internal stakeholders. Strong analytical skills; ability to interpret data and make strategic recommendations. Proficiency in Microsoft Excel, including advanced formulas and pivot tables. Skilled in creating professional, visually compelling PowerPoint presentations. Highly organized, adaptable, and capable of managing multiple priorities in a fast-paced environment. Collaborative team player with the ability to work independently and exercise sound judgment. Minimum Education and Experience Bachelor’s degree in Healthcare Administration, Public Health, Business, Health Policy, or related field (or equivalent work experience). Minimum of 5 years of progressive experience in healthcare operations, with a strong focus on contracting, network management, or provider relations. Prior experience with CMS programs, Medicare Advantage, or ACO operations is highly preferred. Advanced proficiency in Excel and working knowledge of database or contract management tools.

Note:

Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Job Type:

Full-time Pay:

From $75,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Retirement plan Tuition reimbursement Vision insurance

Compensation Package:

Bonus opportunities Performance bonus

Schedule:

8 hour shift Application Question(s): How would you rate your proficiency in Microsoft Excel? Please list any advanced functions or formulas you commonly use (e.g., pivot tables, VLOOKUP, IF statements). Have you negotiated or managed provider contracts in a healthcare setting? If yes, please briefly describe the types of providers and contract types you’ve handled. What is your desired salary? Will you now or in the future require sponsorship for employment visa status (e.g., H-1B, TN, O-1, etc.)?

Education:

Bachelor’s (Required)

Experience:

healthcare operations, with a strong focus on contracting: 5 years (Required) Ability to

Commute:

Coral Gables, FL 33134 (Required)

Work Location:

Hybrid remote in Coral Gables, FL 33134