Provider Network Director jobs in Georgia

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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Provider Network Manager
  • Sidecar Health
  • Atlanta, GA FULL_TIME
  • Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.

    The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.

    If you want to use your talents to transform healthcare in the United States, come join us!

    **Must reside in Georgia or Florida for consideration**

    About the Role 

    Our Provider Team is the bridge that connects Sidecar Health members to their healthcare providers. We’re growing our team and looking for experienced, passionate people to join us and help deliver the best member and provider experience in healthcare.   

    As a Provider Network Manager, you will spearhead our provider engagement initiatives in Georgia or Florida by skillfully navigating hospital contract negotiations, cultivating strong relationships, and ensuring top-notch servicing.  

    What You'll Do 
    • Grow and retain Sidecar Health membership through best-in-class provider access and pricing  
    • Lead all provider contracting efforts in Georgia or Florida (depending on your location), concentrating on establishing new hospital relationships through the development and implementation of innovative strategies  
    • Perform complex negotiations in collaboration with our Legal and Actuarial teams  
    • Serve as the liaison between hospitals, professional providers, and Sidecar Health  
    • Represent the Provider team in cross-functional projects, contributing expertise in collaboration with the Member Care, Claims, Marketing, Sales, Account Management, and Actuarial teams  
    • Collaborate with the Claims, Product, and Engineering teams to support the development of our contract management solution  
    • Develop new processes for cultivating and maintaining provider relationships  

    What You'll Bring 

    • 5 years of experience in healthcare or insurance
    • 3  years of experience in provider contracting and provider relations, with a focus on hospital negotiations 
    • Extensive knowledge of the provider community in Georgia or Florida (depending on your location), including prior relationships with hospitals and major physician groups in your state
    • Deep understanding of the current healthcare landscape coupled with the adaptability to reimagine insurance and envision the future of healthcare operations 
    • Excellent cross-functional communication and collaboration skills 
    • Tenacity and adaptability that enables you to thrive in a fast-paced and quickly evolving startup environment 
    • Exceptional ability to communicate complex healthcare concepts effectively to various stakeholders including senior leadership 
    • Bachelor's degree 

    What You'll Get

    • Competitive salary, bonus opportunity, and equity package  
    • Comprehensive Medical, Dental, and Vision benefits
    • A 401k retirement plan
    • Paid vacation and company holidays
    • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

    Sidecar Health adopts a market-based approach to compensation, where base pay varies depending on location and is further influenced by job-related skills and experience. The current expected salary range for this position is $125,000 - $140,000.

  • 18 Days Ago

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Advanced Practice Provider
  • Provider Healthcare
  • Holly Springs, GA FULL_TIME
  • Holly Springs, GeorgiaJob Type Full TimeSchedule DaysPay Depends on ExperiencePatients Per Day 16 - 18EMR System - EpicWork Location Clinical OncologyJob ID 51089Job DescriptionA Holly Springs, Georgi...
  • 7 Days Ago

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Advanced Practice Provider
  • Provider Healthcare
  • Marietta, GA FULL_TIME
  • Job Type Full TimeSchedule DaysPay Depends on ExperiencePatients Per Day 14 - 16EMR System - EpicWork Location Clinical OncologyJob ID 51088Job DescriptionA Marietta, Georgia based client is seeking a...
  • 8 Days Ago

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Advanced Practice Provider
  • Provider Healthcare
  • La Grange, GA FULL_TIME
  • Job Type Full TimeSchedule DaysPay - Depends on ExperiencePatients Per Day 14-16EMR System - E-ClinicalWork Location Outpatient, all agesJob ID 51107Job DescriptionA LaGrange, Georgia based client is ...
  • 8 Days Ago

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Director of Rehabilitation
  • Care Network
  • Calhoun, GA FULL_TIME
  • Calhoun Heath Care Center is seeking an experienced Director of Rehab/DOR who is a GA licensed (or eligible) Physical, Occupational or Speech Therapist/ Assistant to oversee therapy department and sup...
  • 2 Days Ago

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Maintenance Director
  • Care Network
  • Bulloch County, GA FULL_TIME
  • A skilled nursing facility in the Statesboro, GA area seeks a full-time Maintenance Director. Examples of Duties Performed: * Responsible for planning, developing, and directing the overall operation ...
  • 2 Days Ago

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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

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$168,523 to $217,724

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