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Director Provider Network Development Jobs in Arkansas

Director of Development Department:Advancement | Development General Position Overview The Director ... Hires, trains and develops, and provides daily management to assigned staff (if applicable). 5% - ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

The director oversees cross-functional teams, fosters continuous improvement, and provides leadership in talent development while maintaining high standards of integrity and compliance. This position ...

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Director Provider Network Development information

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 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 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 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 most commonly searched types of Provider Network Development jobs in Arkansas?

The most popular types of Provider Network Development jobs in Arkansas are:

What are popular job titles related to Director Provider Network Development jobs in Arkansas?

For Director Provider Network Development jobs in Arkansas, the most frequently searched job titles are:

What job categories do people searching Director Provider Network Development jobs in Arkansas look for?

The top searched job categories for Director Provider Network Development jobs in Arkansas are:

What cities in Arkansas are hiring for Director Provider Network Development jobs?

Cities in Arkansas with the most Director Provider Network Development job openings:

Lead Director - Medical Pharmacy Network

CVS Health

Mountain Home, AR • On-site

$100K - $231K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,338 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

Drives network strategy and performance improvement for medical drug reimbursement across hospital, health system, and regional provider partners. Enables market teams with contracting guidance, analytics, and best practices to improve cost, quality, and access outcomes.

  • Develop Market Network contract relationships providing support for market agreements/negotiations with health systems, hospitals and regional provider groups.

  • Align broader medical pharmacy strategy with National Ancillary Network & Value-Based Care teams.

  • Designs strategic retail network initiatives and plans by analyzing market trends, assessing competitive advantages, and identifying opportunities to grow the network's effectiveness and efficiency.

  • Defines programs to ensure alignment and integration of the provider network strategy with overall business objectives, collaborating with operations, marketing, and finance.

  • Controls all systems that monitor the performance of the medical pharmacy / infusion provider network, subsequently analyzing key performance indicators and identifying specific areas for improvement.

  • Communicates with external stakeholders, including healthcare organizations and insurance providers, to establish partnerships and collaborative arrangements.

  • Aligns retail provider network strategies with legal and regulatory frameworks, ensuring critical compliance with all relevant health regulations and standards.

  • Advises senior management and stakeholders on provider network performance, patient expectations and outcomes, and key financial metrics and targets.

  • Designs key strategies for retail network performance and partners with market leaders to ensure business plan requirements and team objectives are consistently met.

Required Qualifications

  • At least 10 years of experience in health plan operations, network contracting, or provider-facing contracting environments.

  • At least 3 years of experience in a health plan setting, with exposure to payer operations and healthcare administration.

  • Demonstrated ability to translate complex contracting, financial, and operational information into concise, executive-level narratives that drive informed decision-making, align stakeholders, and communicate business value effectively.

  • Proven ability to critically evaluate contract terms, reimbursement structures, and business proposals, confidently challenging unfavorable provisions and advocating for solutions that mitigate risk, protect organizational interests, and support long-term strategic objectives.

  • Demonstrated knowledge of medical pharmacy reimbursement and outpatient reimbursement models, including payer and provider considerations.

Preferred Qualifications

  • Experience with health system and hospital network contracts.

  • Contracting experience with infusion, medical pharmacy arrangements, and/or value-based care.

Education

  • Bachelor's degree preferred or a combination of education and work experience.

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 09/19/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.


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