Provider Network Director jobs in Connecticut
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 Manager Sr
- Elevance Health
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Rocky Hill, CT
FULL_TIME
-
Location: NH-Manchester, MA-Boston, MA-Woburn, MA-Newton, CT-Rocky Hill
Job Description Summary
Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.
How You Will Make An Impact- Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
- 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 professional providers and the company.
- Ensure that network composition includes an appropriate distribution of provider specialties.
- Conducts more complex negotiations and drafts documents.
- Prepare financial projections and conduct analysis.
- Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
- Experience in fee schedule development using actuarial models strongly preferred.
- Travels to worksite and other locations as necessary.
- 7 Days Ago
Provider Network Specialist
- Advanced Behavioral Health
-
Middletown, CT
FULL_TIME
- POSITION SUMMARY:The Provider Network Specialist provides support to complete activities associated with credentialing of providers and collection of quality of service information for the Department ...
- 20 Days Ago
Provider Network Manager Sr (US)
- Elevance Health
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WALLINGFORD, CT
FULL_TIME
- Description Location: Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitm...
- 1 Day Ago
Sr. Provider Network Development Specialist
- Southern New England Healthcare
-
Windsor, CT
FULL_TIME
- The Provider Network Development Specialist reports to the Director of Network Management with accountability for recruiting providers to join SoNE Health’s participating provider network. The Provide...
- 15 Days Ago
Provider Network Manager Sr (US)
- The Elevance Health Companies, Inc.
-
WALLINGFORD, CT
FULL_TIME
- Anticipated End Date: 2024-06-05 Position Title: Provider Network Manager Sr (US) Job Description: Location: Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint site...
- 17 Days Ago
Director Specialty Network Management
- Elevance Health
-
Wallingford, CT
FULL_TIME
- Location: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an Elevance Health location.The Director Specialty Network Management directs strate...
- 8 Days 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
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- 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 Connecticut
Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$187,171 to $241,816
Most Popular Cities in Connecticut 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