Director, Provider Network Management

The Director, Provider Network Management will oversee the credentialing, provider database, contracting, and provider relations teams, leading provider relations functions, and maintaining provider directories. This role will serve in a leadership capacity, working extensively with stakeholders across the organization and external providers and vendors.

What You Will Do

Responsibilities include overseeing customer service related to member and provider inquiries, managing relationships related to plan-to-plan risk arrangements with major HMO plans, and serving in a role that blends financial analysis, contract negotiations, operational efficiency, and system-wide impact.

Why It Might Be a Fit

The ideal candidate will have at least seven years of combined experience in management of provider relations and contracting, with four years in a leadership capacity, and possess negotiation skills, creating policies and procedures, and leading multiple teams.

Requirements

• At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA level of which four years must be in a leadership capacity
• Masters degree in healthcare administration or similar
• Epic Tapestry experience
• Negotiation skills, creating policies and procedures and leading multiple teams

Benefits

• Director Incentive Plan
• Transitional and professional development programs
• Learning environment that enables you to thrive in your specific field as well as in your overall career