Director PPO Network Solutions

CompIQ Solutions • Greenville, SC

9d • Hybrid

About The Position

The Director of PPO Network Solutions will lead the enhancement of our network solutions product through strategic vendor and provider engagement, team management, and data-driven decision-making. This senior role involves overseeing operational processes, guiding analytical efforts, and fostering innovation to drive product performance. The ideal candidate will be a visionary leader with a proven track record in healthcare network management, committed to mentoring teams, achieving organizational objectives, and promoting continuous improvement. This position offers significant influence on the company's growth trajectory, with opportunities for executive advancement and building key industry partnerships.

Requirements

• Analytical Skills : Advanced ability to interpret complex data, identify strategic trends, and generate high-impact insights.
• Communication Skills : Superior verbal and written communication skills for engaging with executive stakeholders, vendors, providers, and teams.
• Organizational Skills : Exceptional leadership in managing multiple priorities, teams, and projects efficiently.
• Attention to Detail : Strategic oversight to ensure precision in high-stakes contract management, reporting, and compliance.
• Problem-Solving Skills : Innovative and proactive approach to resolving complex challenges at an organizational level.
• Technical Proficiency : Expertise in Microsoft Excel and data analytics tools; proficiency with data management systems and CRM software is essential.
• Interpersonal Skills : Advanced relationship-building and negotiation skills to foster strategic partnerships and team collaboration.
• Strategic Thinking : Capacity to align departmental goals with company vision and adapt to market changes.
• Bachelor’s degree in Business, Healthcare Administration, or a related field is required; Master’s degree (e.g., MBA, MHA) or relevant certifications (e.g., CHC, CPC) preferred.
• 7-10 years of progressive experience in network management, healthcare, or a related industry, with at least 3-5 years in a leadership or managerial role.
• Demonstrated expertise in data management, analysis, and strategic planning.
• In-depth knowledge of healthcare networks, vendor relations, regulatory compliance, ancillary services, and state fee schedules.
• Proven track record of leading teams, driving revenue growth, and managing vendor partnerships.
• Strong ability to work collaboratively in a team environment while providing independent strategic direction.
• Commitment to ongoing professional development and staying current with industry trends.

Nice To Haves

• Master’s degree (e.g., MBA, MHA) or relevant certifications (e.g., CHC, CPC) preferred.

Responsibilities

• Develop and execute strategies for building and maintaining strong relationships with network vendors and providers to align with the objectives of the network solutions product.
• Lead cross-functional collaboration between vendors, internal teams, and stakeholders to ensure seamless integration and goal alignment.
• Oversee data management and analysis processes, ensuring team accuracy in provider contracts, pricing, and performance metrics.
• Direct the preparation and review of network performance data to identify trends, cost-saving opportunities, and areas for improvement, providing strategic recommendations.
• Supervise the review and negotiation of contracts and pricing agreements to ensure compliance, accuracy, and resolution of issues with network partners.
• Guide research initiatives to identify potential providers and gather market intelligence, leveraging insights to expand network capabilities.
• Monitor industry trends, state fee schedules, and best practices to inform high-level decision-making and policy development.
• Manage data governance and workflow optimization, promoting efficiency and accuracy across the team.
• Collaborate with executive leadership and cross-functional teams to spearhead network initiatives and elevate client experience.
• Review and approve regular reports on network performance metrics, presenting findings to senior stakeholders and driving improvement strategies.
• Formulate and implement strategies to optimize network performance, achieve organizational goals, and scale operations.
• Identify and pursue new opportunities for expanding the network solutions product, including strategic partnerships, mergers, or innovative service offerings.
• Mentor and manage Network Solutions Representatives, including recruitment, performance evaluations, and professional development.
• Collaborate with executive management to align departmental strategies with the organization's growth objectives, remaining adaptable to evolving business needs.

Benefits

• Fair and Competitive Salary
• Flexible schedule in a hybrid or remote-work environment (depending on location)
• Flexible Paid Time Off
• Paid Parental Leave
• Tuition Reimbursement
• Identity Theft Protection
• Medical, Dental, and Vision Insurance
• 100% Company-paid Short-Term and Long-Term Disability
• 100% Company-paid Life Insurance with additional voluntary enrollment options
• Employee Assistance Programs including counseling with up to 6 complimentary sessions
• Monthly Wellness (Gym Membership) Stipend
• Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs
• 401(k) Plan with a 100% vested company match
• Career development and growth opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Director