Overview
Remote
$100,000 - $120,000
Full Time
Skills
Health Insurance
Health Care
Theripst
medical
Job Details
Title : Director Network Development.
Remote Role.
Description
- This role requires a strategic leader with expertise in provider network management, operational oversight, and team development to drive business goals and strengthen provider relationships.
- Lead and oversee provider relations, including credentialing, compliance, quality, issue resolution, and data management. Maintain strong relationships with key providers and manage the network effectively. Develop and implement strategies to achieve business objectives while ensuring compliance with policies, regulations, and accreditation standards through audits and quality improvement initiatives.
- Track and assess department performance using key metrics, adjust strategies as needed, and leverage data analytics to enhance outcomes. Collaborate across departments to address and resolve provider inquiries effectively.
- Assist in evaluating network performance by analyzing operational and financial data to identify and address issues. Communicate updates and manage special projects as needed.
- Develop communication materials/strategies to enhance provider relationships and foster professional interactions with all stakeholders to align with organizational goals.
Required:
- 10-12 + years in healthcare or health insurance, including provider relations .
- 5+ years of management experience.
- Knowledge of provider contracting and pricing strategies.
- Leadership, financial acumen, and strategic thinking.
- Bachelor s degree.
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