Provider Network Director jobs in Arizona

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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Director of Provider Relations and Value-Based Performance
  • Professional Health Care Network
  • Phoenix, AZ FULL_TIME
  •  

    We're looking for a dynamic, self-motivated leader to join us as our Director of Provider Relations and Value-Based Performance. In this crucial role, you'll oversee markets where we support value-based home health management. Your main responsibilities will include forging and nurturing partnerships with providers to drive performance and achieve better outcomes. Reporting directly to the Vice President of Network Management, you'll have the autonomy to develop and implement innovative strategies that engage providers and boost market performance.

     

    Job Responsibilities:

     

    • Recruit, mentor, and support a team of Provider Relations Representatives, fostering their growth and development to become market experts.
    • Establish and lead Joint Operating Committee (JOC) meetings with strategic providers, driving collaboration and innovation opportunities that improve outcomes and enhance patient and provider satisfaction.
    • Develop and implement a data-driven, high-performing culture within the team, focused on continuous improvement and achieving market objectives.
    • Create actionable goals for the team, centered on improving operations, market performance, innovation, and team engagement.
    • Report out network performance metrics to include all relevant market engagement and outcome metrics, and action plans to address opportunities for improvement and further network optimization.
    • Collaborate with leadership to support budgeting initiatives aimed at scaling the Provider Relations department effectively. Provide insights and recommendations to optimize resource allocation and achieve departmental goals.
    • Serve as a primary point of contact for addressing provider issues, complaints, and grievances. Work closely with internal teams and providers to resolve issues promptly and ensure high levels of satisfaction.
    • Support the onboarding process for new agencies, which includes ongoing training and education to ensure agencies understand and adhere to company policies, procedures, credentialing, and regulatory requirements.
    • Work collaboratively with cross-functional teams to develop, implement, and monitor policies and procedures related to provider relations and performance management.
    • Ensure team compliance with company policies and procedures, Medicare guidelines, and State and Federal laws and regulations.

     

    Requirements:

     

    • Bachelor’s degree in Business Administration, Healthcare Management, or related field (Master’s degree preferred).
    • Minimum 10 years of healthcare or managed care experience with a focus on customer service and provider relations.
    • Minimum 8 years of management experience, including hiring, onboarding, training, and performance management.
    • Knowledge of ancillary value-based reimbursement methodologies and provider credentialing process.
    • Deep understanding of home health's role in post-acute care.
    • Excellent communication and interpersonal skills for fostering effective partnerships internally and externally.
    • Strong leadership skills to motivate teams and achieve strategic goals.
    • Experience in strategic planning, organizational development, and driving results through innovation and collaboration.
    • Proficiency in data analysis and utilizing metrics for performance improvement.
    • Proven ability to build trust with partners and stakeholders and adhere to Medicare guidelines and healthcare regulations.
    • Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
    • Excellent written and verbal communication and presentation skills.
    • Willingness to travel quarterly, at a minimum.
    • Other duties as assigned.

     

    Why Join Us:

     

    • Opportunity to make a significant impact on the transformation of home health management and patient outcomes.
    • Autonomy to innovate and implement strategies that drive market performance and provider engagement.
    • Collaborative and supportive work environment that values continuous learning and development.
    • Competitive salary and benefits package.

     

    If you are a passionate and driven individual looking to lead a team towards success in a dynamic healthcare environment, we encourage you to apply for this exciting opportunity. Join us in our mission to improve outcomes for patients and providers through innovative value-based home health management.

     

     

    tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

  • 25 Days Ago

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Advanced Practice Provider
  • The US Oncology Network
  • Prescott, AZ FULL_TIME
  • OverviewFacing cancer takes great strength and courage. It also takes an exceptional team of caregivers using the most advanced cancer treatment options, clinical trials, and research protocols.We are...
  • 15 Days Ago

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Provider Relations Representative
  • Professional Health Care Network
  • Phoenix, AZ FULL_TIME
  • We are in search of a detailed oriented self-starter to join our Provider Relations Team. The Provider Relations Representative will serve an important role overseeing our network of home health provi...
  • 25 Days Ago

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Manager of Provider Relations and Value-Based Performance
  • Professional Health Care Network
  • Phoenix, AZ FULL_TIME
  • We are seeking a dynamic and self-motivated individual to join our team as the Manager of Provider Relations and Value Based Performance. This role is pivotal in overseeing markets where our organizat...
  • 25 Days Ago

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School Director
  • Childcare Network
  • Glendale, AZ PART_TIME
  • Join Our Movement: Revolutionizing Early Childhood Education At Sunrise Preschools, we're not just offering jobs; we're inviting you to be part of a movement that's shaping the future. We're a tight-k...
  • Just Posted

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Assistant Director
  • Childcare Network
  • Glendale, AZ FULL_TIME
  • Join Our Movement: Revolutionizing Early Childhood Education with Free Childcare for Eligible Employees! At Sunrise Preschools, we're not just offering jobs; we're inviting you to be part of a dynamic...
  • Just Posted

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • New Haven, CT
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Atlantic City, NJ
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Washington, DC
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Dover, DE
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Charlottesville, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Fredericksburg, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Richmond, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Director of Networking
  • Insight Global
  • Director of Network Services and Engineering Must be in Nashville, TN - Hybrid schedule of 3 days onsite Requirements: 1...
  • 6/7/2024 12:00:00 AM

Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$169,743 to $219,300

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