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Director Provider Network Development Jobs in Arkansas

Adult and Teen Challenge

Development Director

Morrow, AR · On-site

$50K - $70K/yr

Rooted in Christian values, our program provides a nurturing and structured environment where ... Development Director: 1 year (Preferred) * cold calling, networking, or sales pitching: 2 years ...

Ohio State University

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% - ...

TeleComp

Network Engineer

Rogers, AR · On-site

Unified Support Director JOB SUMMARY Under the leadership of the Unified Support Director, the ... Provide input towards the ongoing development of customer network infrastructure for delivery of ...

TeleComp

Network Engineer

Rogers, AR · On-site

Unified Support Director JOB SUMMARY Under the leadership of the Unified Support Director, the ... Provide input towards the ongoing development of customer network infrastructure for delivery of ...

TeleComp

Network Engineer

Rogers, AR · On-site

Unified Support Director JOB SUMMARY Under the leadership of the Unified Support Director, the ... Provide input towards the ongoing development of customer network infrastructure for delivery of ...

TeleComp

Network Engineer

Rogers, AR

Unified Support Director JOB SUMMARY Under the leadership of the Unified Support Director, the ... Provide input towards the ongoing development of customer network infrastructure for delivery of ...

Flintco

Director of Talent Development

Springdale, AR · On-site

Job Summary The Director of Talent Development is responsible for designing, implementing, and ... Provide tools and guidance to managers to support meaningful coaching, career conversations, and ...

Walmart

Senior Director, Business Development

Decatur, AR · On-site

$130K - $260K/yr

Provides overall direction by analyzing business objectives and customer needs developing ... directing the business development effort from sourcing to contracting evaluating customer demand ...

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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 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:
Director Provider Network Development jobs near you

Physician / Addiction Medicine / Arkansas / Locum or Permanent / Medical Director- Behavioral Health

Premier Health Careers, Inc / Premier Paths

Sherwood, AR

Full-time

Posted 12 days ago

Job description

We are in search of a Medical Director who is and actively practicing Board Certified Physician Board certified by the American Board of Psychiatry and Neurology.
This is a role where you are directing and coordinating the medical management, quality improvement and credentialing functions. You should be willing to practice clinically ONE day a week. Salary plus 20% bonus or higher
We can only consider those who are Board certified by the American Board of Psychiatry and Neurology. Current state medical license without restrictions. Board certification in general psychiatry or child psychiatry. 5+ years of experience working in behavioral health managed care or behavioral health clinical settings, with at least 2 years in a clinical setting. Certification in addiction medicine or in the sub-specialty of addiction psychiatry preferred.
Our client may consider candidates requiring Visa Sponsorship.
Here is what a typical day would look like for you:
  1. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services.
  2. Supports effective implementation of performance improvement initiatives for capitated providers.
  3. Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.
  4. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.
  5. Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.
  6. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
  7. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.
  8. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
  9. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.
  10. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.
  11. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.
  12. Develops alliances with the provider community through the development and implementation of the medical management programs.

This is NOT a remote opportunity. To be considered you should not currently have a non-compete clause in your current contract. This position reports to the Senior Director.
Our client is located in the Little Rock, Arkansas region
Interested? Please email your resume to us and we will promptly follow up with you should you meet the qualifications of this role.

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