Provider Network Director jobs in Tennessee

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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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Antioch, TN CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5+ years of experience developing healthcare provider networks. By connecting with us now, you can be among the first to receive outreach regarding new project opportunities. `

    Our network consultants are typically responsible for leveraging client provided data to contact providers, build relationships, negotiate contracts, and manage various elements of the contracting process. Our projects typically lasts 6-12 months (or longer).

    All roles are 100% telecommute and are temporary by nature.

    EWINGS is the leader in helping clients build large-scale healthcare provider networks. Many of our projects have required teams of 100-200+ network consultants. Since 2002 we've developed provider networks for our clients in over 700 cities and all 50 states.

    While many of our clients are members of the FORTUNE 500, we also work with numerous start-ups that are experiencing rapid growth. One client has achieved membership growth of 400% year-over-year for the last two years.

    It is an exciting time to be a EWINGS consultant! A network assignment with EWINGS provides you an opportunity to quickly gain valuable experience developing networks in multiple states for a variety of products with organizations of various sizes.

    New projects are starting all the time, so now is your chance to introduce yourself to our organization and join our roster of exceptional talent.

    Typical Job Titles

    • Associate Healthcare Provider Network Contractor
    • Healthcare Provider Network Contractor
    • Senior Healthcare Provider Network Contractor
    • Network Provider Advocate
    • Network Contract Manager
    • Network Program Manager
    • Provider Relations Specialist
    • Credentialing Representative
    • Provider Install
    • Project Manager/Director
    • Data Programmer/Analyst

    Typical Job Responsibilities

    • Use data supplied by the client to call providers, establish a relationship, and initiate a contracting discussion.
    • Send contracts to providers, negotiate rates, and manage other terms of the agreement.
    • Evaluate and negotiate contracts in compliance with client contract templates, reimbursement structure standards, and other key process controls.
    • Update provider data and document contracting activities.
    • Provide feedback from prospective and newly contracted providers to the client.
    • Perform problem analysis, identify solutions, and engage client stakeholders when necessary.
    • Track the progression of contracts as they flow through the process and follow-up with colleagues when necessary to keep things moving forward.

    Please submit your resume and information. Candidates that input the information requested in the registration process will increase their chances of being contacted when a position matches their exact skills and experience.

    Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH
  • 9 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Hendersonville, TN CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
  • 10 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Clarksville, TN CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
  • 15 Days Ago

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Provider Network Manager( Hybrid)
  • BlueCross BlueShield of Tennessee Inc.
  • Knoxville, TN FULL_TIME
  • Job DetailsMaintains relationships with providers by daily interaction and delivers technical assistance to correct any errors and control risks for the insurer and provider.Job ResponsibilitiesIdenti...
  • 19 Days Ago

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Director Provider Enrollment
  • TeamHealth
  • Knoxville, TN FULL_TIME
  • Job Snapshot Employee Type: Full-Time Location: Knoxville, TN Job Type: General Business Health Care Experience: Not Specified Date Posted: 5/20/2024 Job Description Team Health has ranked three years...
  • 11 Days Ago

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Director of Financial Reporting
  • LaSalle Network
  • Franklin, TN FULL_TIME
  • Are you an accounting professional looking to help drive projects and strategy for a strong and steadily growing nation-wide healthcare company? Our client is looking for a dynamic Director of Financi...
  • 4 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

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$161,378 to $208,493

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