Provider Network Director jobs in Nebraska

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 Representative
  • Ameritas
  • Lincoln, NE FULL_TIME
  • Provider Network Representative
    Ameritas Life-Remote NE-NEREM
    Sales
    Full-time

    Ameritas Life Insurance Corp is seeking a Provider Network Rep to drive the business by providing network growth and persistency results through personal efforts at a state level. This position champions all network development recruitment projects in a specified region as assigned by the Director-Provider Networks and management team in various territories. The PNR is responsible for working within team performance metrics and assigned budgets. The PNR also partners with the Ameritas sales force at a regional level, to develop a mutual understanding of how group sales relates to provider network development.

    At Ameritas, fulfilling life is what we do daily. We continuously strive to help our customers and employees enjoy life at its very best by reducing uncertainty, helping grow assets and protecting what is most cherished. We're here to help people put worry behind and the future ahead and help enable a life that's rich in family, happiness, health and financial security. When lives are fulfilled, our mission is fulfilled.

    This position is a remote position. This position does require the incumbent to be located in Nebraska, South Dakota, North Dakota, Minnesota, Iowa, Missouri, Oklahoma, Kansas. Colorado, Wyoming, Texas, Illinois, and Wisconsin, New Mexico, Arizona, Utah, Montana, Idaho, Nevada, California, Oregon, and Washington.

    What you do

    • The PNR is responsible for recruitment projects assigned by Director-Provider Networks and manager in various areas of the nation utilizing such methods as researching competitor data, developing recruitment call strategies, maintaining and posting reports, ensuring consistency through contact management leads, preparing fee increase requests, and obtaining policyholder names and approvals.
    • The PNR works with the management team to improve his/her skills in recruitment methods and successes through utilizing PSS techniques, monthly coaching tips provided by the manager, recruitment ride-alongs, and through customized coaching plans and proficiency checklists identified and developed by the manager to specifically deliver increased recruitment project and overall job performance successes.
    • This position assists the Sr. PNR or manager in the implementation of provider recruitment events and dental conventions in assigned recruitment project areas as necessary.
    • The incumbent will be responsible for on-site reviews in their territories within the specified service standards timeframe, including scheduling and conducting office visits and educating the dental staff on Ameritas quality assurance standards. The position ensures that re-onsite follow up compliance is completed in assigned areas via phone calls, or in-office visits if necessary, and provides compliance status reports to the management team.
    • This position maintains provider networks to overall persistency levels set by the company by conducting periodic "PR" calls and contacts with key providers as well as attempting to retain potentially- terminating providers in assigned areas.
    • This position maintains Salesforce.com for each assigned recruitment project within specified deadlines.
    • The PNR partners with the group sales reps and new STEP reps in their assigned project areas as well as local territories to offer "ride alongs" on recruiting calls and onsite visits.
    • The PNR partners with the management team on a semi-annual basis to best determine key account service needs.
    • The PNR will be available for enrollment and broker meeting participation, on an as needed basis
    • The PNR partners with Provider Relations in the provider contracting process; in researching provider inquiries; in identifying and creating Best Practices; and providing an overall seamless level of customer service to the provider network.
    • This position attends PNR team and national team meetings as required.

    What you bring

    • A four-year Bachelor's degree or equivalent work experience is required
    • Proven results in individual production as demonstrated by consistently meeting or exceeding goals
    • Ability to manage multiple priorities through effective time management, organizational and decision making skills
    • Professional presentation and conduct at individual, managerial and corporate levels
    • Comprehensive understanding of provider contracts
    • Detailed dental product and plan design knowledge is essential
    • Strong technical and computer skills are a must with advanced proficiencies in Word, Excel, PowerPoint, proficiency in Microsoft Teams, Internet applications, Salesforce and competitor analysis tools such as Network360.
    • Completion of and certification in of Professional Selling Skills, PTS, Selling in A Competitive World is necessary
    • Demonstrated ability in interpersonal and human relations skills, including verbal, written, communication and presentation skills
    • A strong commitment to excellent customer service, as demonstrated by consistently meeting deadlines and effective relationship-building with customers, team members, management and internal staff.
    • Expanded travel is necessary and may require up to 80% travel in order to provide field recruitment, on-site provider visits, industry events, and sales presentations
    • Incumbent may be assigned by management team or skill development
    • The incumbent is continually challenged to develop provider networks in a competitive managed care marketplace. Additionally, network development needs change and increase on a continuous level, requiring the PNR to be adaptive and responsive to quick shifts in business plans. Because of the multiple customers with whom this position builds relationships, the incumbent must be able to work in high-stress periods, with an innate ability to work on his/her own. Adherence to deadlines and procedures is vital to the efficacy and accuracy required of this position. Assigned projects and goals are used as motivation and disciplinary action is employed for not meeting such standards.

    What we offer

    • Our company motto is "Fulfilling Life" and we take that job seriously, with a heavy commitment to volunteering and community support, employee well-being, and providing quality products and services that help our customers create a brighter future.
    • Being a mutual-based organization, the return on our investment goes back into the company, to benefit our members/customers.
    • We're committed to professional development, opportunity, inclusion, and diversity. Team building and collaboration are also priorities.
    • A total rewards package with all the comprehensive health and welfare benefits you'd expect, including competitive pay and incentives, 401(k), flexible work schedules and time off to care for yourself and others.
    • Additional popular benefits, including tuition reimbursement, and student loan repayment, an incentivized well-being program, adoption assistance, paid time off for volunteering, training, and career development opportunities.

    An Equal Opportunity Employer

    Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.

    Salary Range: $46,000-$115,000


     

  • 27 Days Ago

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Director of Nursing- Director of Nursing
  • Care Network
  • Waverly, NE FULL_TIME
  • ** New Sign on Bonus ** $10,000 The Mulberry at Waverly is looking for a results orientated Director of Nursing (DON), with strong interpersonal and communication skills to exercise administrative and...
  • 11 Days Ago

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Director of Activities
  • Care Network
  • Omaha, NE FULL_TIME
  • Midtown has amazing things happening every day! Do you want to be part of a team that considers every detail in making the lives of our residents the best that it can be? We currently have an opening ...
  • 17 Days Ago

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Maintenance Director
  • Care Network
  • Grand Island, NE FULL_TIME
  • Are you ready to join a FUN, ENERGETIC team? The Cedars at Broadwell has an immediate opening for a Maintenance Director. The purpose of this position is to manage multiple functions of building opera...
  • 18 Days Ago

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Director of Activities
  • Care Network
  • Grand Island, NE FULL_TIME
  • The Cedars at Broadwell has amazing things happening every day! Do you want to be part of a team that considers every detail in making the lives of our residents the best that it can be? We currently ...
  • 19 Days Ago

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Director of Nursing
  • Care Network
  • Gretna, NE FULL_TIME
  • Azria Health Gretna has amazing things happening every day! Do you want to be part of a team that is passionate about providing compassion and quality care for each of our residents? We are looking fo...
  • 12 Days Ago

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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

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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

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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...
  • 4/23/2024 12:00:00 AM

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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

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Director, Change Network and Site Readiness - Remote
  • Lifepoint Health Support Center
  • Brentwood, TN
  • Who we are: At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you...
  • 4/22/2024 12:00:00 AM

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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

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Director, ACH Network Development
  • Nacha
  • Herndon, VA
  • Job Title:Director, ACH Network Development Date: April 2024 Department: ACH Network Development Status: Full-time/Exemp...
  • 4/21/2024 12:00:00 AM

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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...
  • 4/20/2024 12:00:00 AM

The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$163,435 to $211,146

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