Provider Network Director jobs in Kansas

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)

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Provider Network Manager Sr.
  • Elevance Health
  • KS, KS FULL_TIME
  • Description

    Location: Candidates must reside within the state of Kansas, preferably within 50 miles to Topeka, KS.

    The Provider Network Manager Sr . develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required.  Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.

    Primary duties may include, but are not limited to:

    • Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.

    • Works independently and requires high level of judgment and discretion.

    • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

    • May collaborate with sales team in making presentations to employer groups.

    • Serves as a communication link between professional providers and the company.

    • Ensure that network composition includes an appropriate distribution of provider specialties.  

    • Conducts more complex negotiations and drafts documents.

    • Prepare financial projections and conduct analysis.

    Minimum Requirements:

    • Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

    Preferred Skills:

    • Experience in fee schedule development using actuarial models strongly preferred. .


     

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

  • 3 Days Ago

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Provider Network Manager
  • Elevance Health
  • KS, KS FULL_TIME
  • Description Location: Candidates must reside in Kansas, preferably within a 50 mile commute to Topeka, KS. The Provider Network Manager develops the provider network through contract negotiations (lan...
  • 5 Days Ago

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Director of Nursing
  • The US Oncology Network
  • Wichita, KS OTHER
  • Overview: At the Cancer Center of Kansas, we value each employee for their life-saving expertise and the role they play in making our patients' lives as easy and comfortable as possible. Our employees...
  • 1 Month Ago

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Director of Nursing
  • US Oncology Network-wide Career Opportunities
  • Wichita, KS FULL_TIME
  • OverviewAt the Cancer Center of Kansas, we value each employee for their life-saving expertise and the role they play in making our patients' lives as easy and comfortable as possible. Our employees a...
  • 11 Days Ago

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Network Administrator
  • MIDWEST TRANSPLANT NETWORK INC
  • Westwood, KS OTHER
  • Job Details Job Location: Westwood - Westwood, KS Position Type: Full Time Salary Range: Undisclosed Job Category: Information Technology DescriptionUnder general supervision performs highly complex L...
  • 1 Month Ago

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Assistant Clinical Director - IV Therapy Provider
  • IV Nutrition - Overland Park
  • Overland Park, KS FULL_TIME
  • IV Nutrition in Overland Park, KS is looking to hire a full-time Assistant Clinical Director - IV Therapy Provider to support our director in helping our staff and clients. Are you certified to delive...
  • 9 Days Ago

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Director of Network and Endpoint Security | Industrial Cybersecurity Consulting - 1898 & Co. (Multiple Locations)
  • Burns & McDonnell
  • Baltimore, MD
  • **Description** 1898 & Co. is looking for its next leader within the Security & Risk Consulting group focused on helping...
  • 3/28/2024 12:00:00 AM

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Director of Network and Endpoint Security | Industrial Cybersecurity Consulting - 1898 & Co. (Multiple Locations)
  • Burns & McDonnell
  • Greenville, SC
  • **Description** 1898 & Co. is looking for its next leader within the Security & Risk Consulting group focused on helping...
  • 3/28/2024 12:00:00 AM

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Director of Network and Endpoint Security | Industrial Cybersecurity Consulting - 1898 & Co. (Multiple Locations)
  • Burns & McDonnell
  • Austin, TX
  • **Description** 1898 & Co. is looking for its next leader within the Security & Risk Consulting group focused on helping...
  • 3/28/2024 12:00:00 AM

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Director of Network and Endpoint Security | Industrial Cybersecurity Consulting - 1898 & Co. (Multiple Locations)
  • Burns & McDonnell
  • Washington, DC
  • **Description** 1898 & Co. is looking for its next leader within the Security & Risk Consulting group focused on helping...
  • 3/28/2024 12:00:00 AM

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Director of Network and Endpoint Security | Industrial Cybersecurity Consulting - 1898 & Co. (Multiple Locations)
  • Burns & McDonnell
  • Phoenix, AZ
  • **Description** 1898 & Co. is looking for its next leader within the Security & Risk Consulting group focused on helping...
  • 3/28/2024 12:00:00 AM

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Director of Network and Endpoint Security | Industrial Cybersecurity Consulting - 1898 & Co. (Multiple Locations)
  • Burns & McDonnell
  • Atlanta, GA
  • **Description** 1898 & Co. is looking for its next leader within the Security & Risk Consulting group focused on helping...
  • 3/28/2024 12:00:00 AM

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Senior Director, Analyst - Network Detection and Response and Infrastructure Protection
  • Gartner, Inc.
  • Irving, TX
  • About the role: Gartner Analysts are industry thought leaders who create must-have research, market predictions and best...
  • 3/26/2024 12:00:00 AM

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Network Director Strategic Sourcing, MWBE and Supplier Diversity
  • Westchester Medical Center, a member of WMCHealth
  • Valhalla, NY
  • Salary : $145,466-$184,134 Job Summary: The Network Director Strategic Sourcing, MWBE and Supplier Diversity is responsi...
  • 3/25/2024 12:00:00 AM

Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$164,812 to $212,929

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