Provider Network Director jobs in Indiana
Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Provider Network Director jobs
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).
- 21 Days Ago
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...
- 21 Days Ago
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
Provider Network Manager
- Elevance Health
-
Indianapolis, IN
FULL_TIME
- Job Family: PND > Network Contracting Type: Full time Date Posted: Apr 22, 2024 Anticipated End Date: May 24, 2024 Reference: JR113663 Description Location: Indianapolis, IN Hours: M – F Standard Work...
- 1 Day Ago
Network and Provider Relations Manager
- CommuniCare Corporate
-
Indianapolis, IN
FULL_TIME
- Network and Provider Relations Manager CommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantag...
- 9 Days Ago
Network and Provider Relations Manager
- CommuniCare Family of Companies
-
Indianapolis, IN
FULL_TIME
- Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
- 10 Days Ago
Provider Network Director jobs at Popular Companies
Director, ACH Network Development
- Nacha
-
Herndon, VA
- Job Title:Director, ACH Network Development Date: April 2024 Department: ACH Network Development Status: Full-time/Exemp...
- 4/26/2024 12:00:00 AM
Director of Networking
- World Wide Technology
-
Houston, TX
- Director of Network and Technology Services 6 Months CTH Houston, TX / Hybrid. 2-3 days a week onsite I. Job Summary The...
- 4/25/2024 12:00:00 AM
Director, Engineering & Network Infrastructure - Wells Fargo Center
- Comcast Corporation
-
Philadelphia, PA
- Make your mark at Comcast -- a Fortune 30 global media and technology company. From the connectivity and platforms we pr...
- 4/25/2024 12:00:00 AM
Executive Assistant to the Director - Information Networking Institute
- Carnegie Mellon University
-
Pittsburgh, PA
- The Information Networking Institute (INI) at Carnegie Mellon University (CMU) educates and develops engineers through t...
- 4/24/2024 12:00:00 AM
Windows Administrator
- PMMC
-
Charlotte, NC
- Job Title: Windows Administrator Reports To: Director of Network Operations Department: Network Operations About The Tea...
- 4/24/2024 12:00:00 AM
Network Director of Grant Office
- Uvm Home Health Inc.
-
Burlington, VT
- This is a hybrid-remote position.JOB SUMMARY:The Network Director of Grant Office supports network-wide development, lea...
- 4/23/2024 12:00:00 AM
Director of Networking
- World Wide Technology
-
Houston, TX
- Director of Network and Technology Services 6 Months CTH Houston, TX / Hybrid. 2-3 days a week onsite I. Job Summary The...
- 4/22/2024 12:00:00 AM
Director, Provider Network Management - Seattle, WA
- Cigna
-
Seattle, WA
- LOCATION: This position supports the Seattle, WA market. The Director, Provider Network Management serves as an integral...
- 4/22/2024 12:00:00 AM
About Indiana
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 Network Director jobs
$168,293 to $217,422
Most Popular Cities in Indiana for Provider Network Director Jobs
What does a Provider Network Director do?
Provider Network Director in Columbus, OH
In either scenario, taking these three steps can help you determine whether a network change will genuinely lower your costs.
February 09, 2020
Provider Network Director in Portland, ME
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
December 12, 2019
Provider Network Director in Temple, TX
However, from a state regulator’s and the health plan’s perspective, the sheer number of providers in the network overall is only part of the story.
December 21, 2019