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Director Provider Network Development Jobs in Arizona

Oscar Health

Associate, Network Contracting

Tempe, AZ · Hybrid

$87K - $114K/yr

... network development and ensuring providers across our service area have the information and support they need to provide best-in-class member care. You will report into the Senior Director ...

Oscar Health

Director, Provider Operations

Tempe, AZ · Hybrid

$147K - $193K/yr

You will report into the Vice President, Network Operations. Work Location: This position is based ... Strategic Leadership & Team Development * Provide strategic leadership and operational oversight ...

Oscar Health

Director, Provider Operations

Tempe, AZ · On-site

$147K - $193K/yr

Strategic Leadership & Team Development * Provide strategic leadership and operational oversight ... with network operations, provider data management and contracting processes * 5+ years prior ...

Oscar Health

Director, Provider Operations

Tempe, AZ · Hybrid

$147K - $193K/yr

Strategic Leadership & Team Development * Provide strategic leadership and operational oversight ... with network operations, provider data management and contracting processes * 5+ years prior ...

Oscar Health

Associate, Network Contracting

Tempe, AZ · Hybrid

$87K - $114K/yr

... network development and ensuring providers across our service area have the information and support they need to provide best-in-class member care. You will report into the Senior Director ...

Oscar Health

Associate, Network Contracting

Tempe, AZ · On-site

$87K - $114K/yr

... network development and ensuring providers across our service area have the information and support they need to provide best-in-class member care. You will report into the Senior Director ...

Wells Fargo

Lead Network Automation Engineer

Chandler, AZ

$100K - $137K/yr

This is a high-impact role for an engineer who lives at the intersection of network, dev ops and ... Provide implementation guidance, including support outside standard business hours when required ...

Phoenix Seminary Inc

Development Director

Scottsdale, AZ · On-site

$85K - $100K/yr

The Development Director proactively identifies, cultivates, solicits, and stewards gifts for ... They will focus their attention on building a robust network of donors through individuals in ...

AKRE & Associates

Director of Development

Tucson, AZ

$80K - $90K/yr

Represent the organization at networking and community events. * Develop sponsorship opportunities ... Provide regular fundraising reports, metrics, and forecasting. * Support strategic planning and ...

EMPIRE

Director, Development

Phoenix, AZ

$162K - $212K/yr

Provide conceptual and pre-construction estimating across all development phases * Manage ... Direct teams of consultants and contractors to achieve regional Capital Deployment goals * Respond ...

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Director Provider Network Development information

What are some common challenges faced by a Director of Provider Network Development, and how can they be addressed?

A Director of Provider Network Development often encounters challenges such as negotiating favorable contracts with providers, ensuring network adequacy, and balancing cost control with quality of care. Successfully addressing these issues requires strong relationship-building skills, an in-depth understanding of healthcare regulations, and the ability to analyze market trends. Collaborating closely with legal, compliance, and analytics teams can help streamline contract negotiations and maintain a competitive, high-performing network. Continual professional development and staying current with industry changes are also key for long-term success in this role.

What is the difference between Director Provider Network Development vs Provider Network Manager?

AspectDirector Provider Network DevelopmentProvider Network Manager
CredentialsBachelor's degree, industry certifications often preferredBachelor's degree, relevant certifications beneficial
Work EnvironmentStrategic planning, high-level decision making, cross-department collaborationOperational management, provider relations, network oversight
Employer & Industry UsageHealth insurance companies, managed care organizationsHealth plans, healthcare providers, insurance firms
Search & Comparison IntentStrategic development, network expansion, leadership rolesOperational management, provider relations, network maintenance

The main difference is that the Director Provider Network Development focuses on strategic growth and high-level planning of provider networks, while the Provider Network Manager handles day-to-day operations and provider relations. Both roles require industry knowledge and relevant certifications, but their scope and responsibilities differ significantly.

What are the key skills and qualifications needed to thrive as a Director of Provider Network Development, and why are they important?

To thrive as a Director of Provider Network Development, you need a deep understanding of healthcare networks, contract negotiation, and provider relations, typically supported by a bachelor’s or master’s degree in healthcare administration or a related field. Familiarity with healthcare analytics platforms, provider management systems, and knowledge of payer-provider contract regulations are crucial. Strong leadership, relationship-building, and strategic communication skills set top performers apart. These competencies are vital for building robust provider networks, ensuring compliance, and driving organizational growth in a competitive healthcare environment.

What does a Director of Provider Network Development do?

A Director of Provider Network Development is responsible for building, maintaining, and optimizing relationships with healthcare providers, such as hospitals and physician groups, on behalf of insurance companies or health plans. They negotiate contracts, ensure providers meet quality and cost standards, and help expand the provider network to meet organizational goals. This role often involves analyzing network performance, identifying gaps in coverage, and collaborating with internal teams to improve service delivery and member satisfaction.
What are the most commonly searched types of Provider Network Development jobs in Arizona? The most popular types of Provider Network Development jobs in Arizona are:
What are popular job titles related to Director Provider Network Development jobs in Arizona? For Director Provider Network Development jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Director Provider Network Development jobs in Arizona look for? The top searched job categories for Director Provider Network Development jobs in Arizona are:
What cities in Arizona are hiring for Director Provider Network Development jobs? Cities in Arizona with the most Director Provider Network Development job openings:
Director Provider Network Development jobs near you
Associate, Network Contracting

Associate, Network Contracting

Oscar Health

Tempe, AZ • Hybrid

$87K - $114K/yr

Other

PTO

Posted 18 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

239th of 281 rated insurance

Job description

Hi, we're Oscar. We're hiring an Associate, Network Contracting to join our Specialist Contracting team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) to build and maintain a robust network; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. Supporting cost saving initiatives, executing national network strategy, and ensuring high performing network development and ensuring providers across our service area have the information and support they need to provide best-in-class member care.

You will report into the Senior Director, Speciality Contracting.

Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $87,560 - $114,434 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
  • Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
  • Support comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
  • Utilize data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
  • Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
  • Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
  • Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
  • 2+ years of experience supporting provider network strategy development and negotiating provider contracts
  • 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
  • 1+ years experience navigating and organizing large data sets such as claim files and provider rosters

Bonus points:

  • Associate's degree or equivalent professional working experience.

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