Provider Contracting Director jobs in Indiana

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Director of Provider Development & Contracting
  • Provider Partners Health Plan
  • Indianapolis, IN FULL_TIME
  •  
    Provider Partners is searching for a results-oriented individual, with a proven track record, who is passionate about our mission and can generate positive outcomes based on that mission. The Director of Provider Development & Contracting plays a pivotal role in managing and developing relationships with healthcare providers within our network. This position is responsible for ensuring a high level of provider satisfaction and service while optimizing network performance and strategy.
     
    Key Responsibilities: 
     
    Provider Relationship Management:
    • Serve as the primary contact for healthcare providers.
    • Maintain and enhance strong, long-term relationships with providers.
    • Address and resolve provider inquiries and concerns in a timely and professional manner.
    • Conduct provider orientations and provide ongoing education on PPHP policies, procedures, and new initiatives.
    Network Development and Management:
    • Identify, recruit, and contract with new providers to expand our network.
    • Negotiate contract terms, rates, and agreements with providers.
    • Analyze network performance, identify gaps, and recommend improvements.
    • Work collaboratively with internal teams to ensure network adequacy and to develop network strategies.
    Performance Monitoring and Reporting:
    • Monitor provider performance metrics and ensure compliance with contractual and regulatory requirements.
    • Prepare and present network performance reports to senior management.
    • Evaluate provider satisfaction and recommend strategies for improvement.
    Compliance and Regulatory Adherence:
    • Ensure provider compliance with state, federal, and PPHP regulations and standards.
    • Stay abreast of changing regulatory requirements and ensure timely communication to providers and internal stakeholders.
    Project Management:
    • Lead and participate in cross-functional projects aimed at improving network performance and provider satisfaction.

    Qualifications:
    • Bachelor’s degree in healthcare administration, business, or related field required; Master’s degree preferred.
    • Minimum of 5-10 years of experience in healthcare network management or provider relations in the state of Indiana.
    • Strong knowledge of healthcare industry, contract negotiations, and regulatory compliance.
    • Excellent communication and interpersonal skills with the ability to build strong relationships with providers and internal teams.
    • Strong analytical and problem-solving skills.
    • Ability to manage multiple priorities in a fast-paced environment.
    • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).

  • 20 Days Ago

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Executive Director
  • Provider Partners Health Plan
  • Indianapolis, IN FULL_TIME
  • Provider Partners Health Plan of Indiana, Inc, (PPHP-IN) is a health plan that is a 100% owned subsidiary of Hoosier Senior Care Alliance, LLC (HSCA) and Provider Partners Health Plan (PPHP). HSCA and...
  • 20 Days Ago

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HR Director
  • SOUL PROVIDER INC
  • Westfield, IN FULL_TIME
  • POSITION PURPOSE The Director of Human Resources will lead our company’s people efforts. You will be responsible for overseeing the operation of the human resources department. As a member of the lead...
  • 1 Month Ago

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Crewmember: Contracting/Construction
  • Lohmiller Contracting Services
  • Lawrenceburg, IN FULL_TIME
  • Lohmiller Contracting Services is a full service general contracting firm that covers everything from minor repairs to new construction, with a specialization in home repairs and remodeling, and fire ...
  • Just Posted

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Construction / Contracting Project Manager
  • Lohmiller Contracting Services
  • Lawrenceburg, IN FULL_TIME
  • Lohmiller Contracting Services is a full service general contracting firm that covers everything from minor repairs to new construction, with a specialization in home repairs and remodeling. LCS is gr...
  • 10 Days Ago

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Entry level CRA
  • Premier Provider
  • Munster, IN FULL_TIME
  • Job posted 24/02/21 Job Type: Entry level CRA - full time (Now Filled) We are seeking a Clinical Research Associate for one of our clients in the Munster area, Ireland. This is an excellent opportunit...
  • 12 Days Ago

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Construction plans Examiner - Provisional
  • Palm Beach County, FL
  • Palm Beach, FL
  • Examines construction plans for compliance with Florida Building Code, Florida Statutes and County regulations. Reviews ...
  • 4/24/2024 12:00:00 AM

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Stock Clerk (Provisional)
  • City of Buffalo, NY
  • Buffalo, NY
  • Salary: $41,887.00 - $46,336.00 Annually Location : Buffalo Fire Department- 195 Court Street, NY Job Type: Full-Time Jo...
  • 4/23/2024 12:00:00 AM

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Provisional Licensed Counselor
  • Christian Wellness Center Of NJ LLC
  • Somerset, NJ
  • Job Description Job Description Duties/Responsibilities: • Provide counseling for clients and patients, individually and...
  • 4/23/2024 12:00:00 AM

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Thermostat Repairer- Provisional
  • CUNY
  • Bronx, NY
  • Thermostat Repairer- Provisional Job ID 28288 Location Bronx Community College Full/Part Time Full-Time Regular/Temporar...
  • 4/22/2024 12:00:00 AM

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Licensed/Provisionally Licensed Therapist
  • Lutheran Family and Children's Services of Missouri
  • Saint Louis, MO
  • Lutheran Family and Children's Services of Missouri is expanding our Behavioral Health services into Springfield, MO! Be...
  • 4/22/2024 12:00:00 AM

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Judiciary Clerk 3 (Provisional)
  • New Jersey Courts
  • Elizabeth, NJ
  • Salary: $42,827.46 - $64,864.16 Annually Location : Elizabeth, NJ Job Type: Full Time Job Number: 2024-09553 Central Off...
  • 4/22/2024 12:00:00 AM

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Provisionally Licensed / Associate Level Therapist
  • Destination Therapy
  • Houston, TX
  • Destination Therapy is an Equal Opportunity Employer. We are committed to a diverse workforce that reflects the populati...
  • 4/22/2024 12:00:00 AM

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Clinical Provider
  • Burrell Behavioral Health
  • Springfield, MO
  • Job Description: CLINICAL PROVIDER What you'll get to do: Provide individual, group, family and/or other practical couns...
  • 4/22/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$167,341 to $241,684

Provider Contracting Director in New Suffolk, NY
The partners expect that their efforts toward greater collaboration between mutuelles and private providers will contribute to greater financial risk protection of covered citizens and support access to universal health coverage.
January 02, 2020
Provider Contracting Director in Vincennes, IN
The provider of services can choose how to perform the service.
January 27, 2020
Provider Contracting Director in Wichita Falls, TX
The Credentialing Committee is chaired by our Medical Director and they give the final determination if a provider meets our credentialing criteria.
December 05, 2019