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)
Recently Added Provider Network Director jobs
Provider Network Management Director
- Elevance Health
-
Overland Park, KS
FULL_TIME
-
Location: Topeka KS, Kansas City KS
Hours: M – F Standard Working Hours
Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed
Position Overview
Develops the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, affiliated providers and drives and support value base initiatives.
How You Will Make An Impact- Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning
- Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit
- Typically serves as lead contractor for large scale, multi-faceted negotiations
- Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact
- May assist management in network development planning
- May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring
- Contracts involve non-standard arrangements that require a high level of negotiation skills
- Fee schedules are customized
- 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 providers and the company
- Conducts the most complex negotiations
- Prepares financial projections and conducts analysis
- Requires a BA/BS degree and a minimum of 8 years’ experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
- Experience using financial models and analysis to negotiate rates with providers strongly preferred
- Travels to worksite and other locations as necessary
- 1 Day Ago
Provider Network Management Director
- The Elevance Health Companies, Inc.
-
TOPEKA, KS
FULL_TIME
- Anticipated End Date: 2024-06-21 Position Title: Provider Network Management Director Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days ...
- 23 Days Ago
Provider Network Manager Sr
- Elevance Health
-
Topeka, KS
FULL_TIME
- Location: Topeka KS, Kansas City KSHours: M – F Standard Working HoursTravel: Hybrid (1-2 days onsite per week) In state travel to clients as neededPosition OverviewDevelops the provider network throu...
- 7 Days Ago
Provider Network Manager Sr
- Elevance Health
-
Overland Park, KS
FULL_TIME
- Location: Topeka KS, Kansas City KSHours: M – F Standard Working HoursTravel: Hybrid (1-2 days onsite per week) In state travel to clients as neededPosition OverviewDevelops the provider network throu...
- 1 Day Ago
Provider Network Manager Sr
- The Elevance Health Companies, Inc.
-
TOPEKA, KS
FULL_TIME
- Anticipated End Date: 2024-06-21 Position Title: Provider Network Manager Sr Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite pe...
- 23 Days Ago
Network Relations Consultant (LTSS Provider Rep)
- Elevance Health
-
Kansas, KS
FULL_TIME
- Description Network Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of on...
- 1 Day Ago
Provider Network Director jobs at Popular Companies
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
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
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
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
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
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
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
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
About Kansas
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
$165,909 to $214,347
Most Popular Cities in Kansas for Provider Network Director Jobs
What does a Provider Network Director do?
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