Senior Director, Provider Management
About The Position
The Senior Director, Provider Management, is responsible for assessing provider network needs, developing improvement strategies, proactively working with payors and regulatory agencies, and implementing operational initiatives across cross-functional areas, including client leadership, to maintain high-performing, adequate, and compliant networks for all clients. The position is responsible for managing provider relations teams, leading high-profile contract negotiations with respective implementations, overseeing interdepartmental projects to gain operational efficiencies, and overseeing the processing of provider demographic and contractual changes. Must lead to ensure exceptional customer service is provided.
Requirements
- Bachelor’s degree (BA/BS) in Management, Health Care Administration, or related field required
- Minimum of 12 years of managed care network management contracting experience (HMO, PPO, Provider Networks, etc.) required
- Minimum of 5 years of management experience
Nice To Haves
- Master’s Degree highly preferred
Responsibilities
- Assessing provider network needs
- Developing improvement strategies
- Proactively working with payors and regulatory agencies
- Implementing operational initiatives across cross-functional areas, including client leadership, to maintain high-performing, adequate, and compliant networks for all clients
- Managing provider relations teams
- Leading high-profile contract negotiations with respective implementations
- Overseeing interdepartmental projects to gain operational efficiencies
- Overseeing the processing of provider demographic and contractual changes
- Ensuring exceptional customer service is provided
Benefits
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
