We have transitional and professional development programs to create a learning environment that ... As Director, Provider Network Management, you will be responsible for creating and maintaining a ...
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We have transitional and professional development programs to create a learning environment that ... As Director, Provider Network Management, you will be responsible for creating and maintaining a ...
New
We have transitional and professional development programs to create a learning environment that ... As Director, Provider Network Management, you will be responsible for creating and maintaining a ...
New
We have transitional and professional development programs to create a learning environment that ... As Director, Provider Network Management, you will be responsible for creating and maintaining a ...
New
Director, Provider Network Management & Operations
Long Beach, CA · On-site +1
$189K/yr
Supports network strategy and development with respect to adequacy, financial performance and ... Essential Job Duties • Develops and implements provider network and contracting strategies ...
Director, Provider Network Management & Operations
Long Beach, CA · On-site +1
$189K/yr
Supports network strategy and development with respect to adequacy, financial performance and ... Essential Job Duties • Develops and implements provider network and contracting strategies ...
Provider Network Management Director
Woodland Hills, CA · On-site
$108K - $185K/yr
May assist management in network development planning. * May provide work direction and establish ... Director Equivalent Workshift: Job Family: PND > Network Contracting Please be advised that ...
Provider Network Management Director
Woodland Hills, CA · On-site
$108K - $185K/yr
May assist management in network development planning. * May provide work direction and establish ... Director Equivalent Workshift: Job Family: PND > Network Contracting Please be advised that ...
Provider Network Management Director
Los Angeles, CA · On-site
$108K - $185K/yr
May assist management in network development planning. * May provide work direction and establish ... Director Equivalent Workshift: Job Family: PND > Network Contracting Please be advised that ...
Provider Network Management Director
Los Angeles, CA · On-site
$108K - $185K/yr
May assist management in network development planning. * May provide work direction and establish ... Director Equivalent Workshift: Job Family: PND > Network Contracting Please be advised that ...
Manager, Provider Network Operations
$97K - $131K/yr
Director, Provider Network Operations GENERAL DESCRIPTION OF POSITION The Manager, Provider Network ... This involves the development and execution of strategies related to communication, outreach ...
Manager, Provider Network Operations
$97K - $131K/yr
Director, Provider Network Operations GENERAL DESCRIPTION OF POSITION The Manager, Provider Network ... This involves the development and execution of strategies related to communication, outreach ...
Manager, Provider Network Operations
San Jose, CA · On-site
$130K - $202K/yr
Director, Provider Network Operations GENERAL DESCRIPTION OF POSITION The Manager, Provider Network ... This involves the development and execution of strategies related to communication, outreach ...
Manager, Provider Network Operations
San Jose, CA · On-site
$130K - $202K/yr
Director, Provider Network Operations GENERAL DESCRIPTION OF POSITION The Manager, Provider Network ... This involves the development and execution of strategies related to communication, outreach ...
Supports network strategy and development with respect to adequacy, financial performance and ... Essential Job Duties Develops and implements provider network and contracting strategies ...
Supports network strategy and development with respect to adequacy, financial performance and ... Essential Job Duties Develops and implements provider network and contracting strategies ...
Provider Network Management Director
$108K - $185K/yr
Provider Network Management Director Location: This role requires associates to be in-office 3 days ... May assist management in network development planning. * May provide work direction and establish ...
Provider Network Management Director
$108K - $185K/yr
Provider Network Management Director Location: This role requires associates to be in-office 3 days ... May assist management in network development planning. * May provide work direction and establish ...
AVP, Network Strategy & Services
Long Beach, CA · On-site +1
$161K - $315K/yr
Job Summary Provides strategy and leadership to team responsible for provider network management, operations, and contracting activities . Leads network strategy and development with respect to ...
AVP, Network Strategy & Services
Long Beach, CA · On-site +1
$161K - $315K/yr
Job Summary Provides strategy and leadership to team responsible for provider network management, operations, and contracting activities . Leads network strategy and development with respect to ...
Job Summary Provides strategy and leadership to team responsible for provider network management, operations, and contracting activities . Leads network strategy and development with respect to ...
Job Summary Provides strategy and leadership to team responsible for provider network management, operations, and contracting activities . Leads network strategy and development with respect to ...
Job Summary Provides strategy and leadership to team responsible for provider network management, operations, and contracting activities . Leads network strategy and development with respect to ...
Job Summary Provides strategy and leadership to team responsible for provider network management, operations, and contracting activities . Leads network strategy and development with respect to ...
... Senior Director, Network Management is responsible for leading all aspects of Provider Network ... Responsibilities of this position include the development of the Plan's provider network strategy ...
... Senior Director, Network Management is responsible for leading all aspects of Provider Network ... Responsibilities of this position include the development of the Plan's provider network strategy ...
Senior Vice President, Provider Network Management
Huntington Beach, CA · Hybrid
$229K - $292K/yr
Serves as the organization's senior executive on provider networks, directing provider development, contracting strategy, network adequacy, and provider relationship management. Key Responsibilities ...
Senior Vice President, Provider Network Management
Huntington Beach, CA · Hybrid
$229K - $292K/yr
Serves as the organization's senior executive on provider networks, directing provider development, contracting strategy, network adequacy, and provider relationship management. Key Responsibilities ...
Senior Vice President, Provider Network Management
Huntington Beach, CA · On-site
$229K - $292K/yr
Serves as the organization's senior executive on provider networks, directing provider development, contracting strategy, network adequacy, and provider relationship management. Key Responsibilities ...
Senior Vice President, Provider Network Management
Huntington Beach, CA · On-site
$229K - $292K/yr
Serves as the organization's senior executive on provider networks, directing provider development, contracting strategy, network adequacy, and provider relationship management. Key Responsibilities ...
Director, Provider Contracting
Long Beach, CA · On-site
$170K - $255K/yr
The Director, Provider Contracting will report to the Vice President of Network and Provider ... network team's development of the multi-year contracting strategy for assigned providers and ...
Director, Provider Contracting
Long Beach, CA · On-site
$170K - $255K/yr
The Director, Provider Contracting will report to the Vice President of Network and Provider ... network team's development of the multi-year contracting strategy for assigned providers and ...
PROVIDER NETWORK COORDINATOR - PACE
Alhambra, CA · On-site
$28 - $38/hr
Job Purpose The Provider Network Coordinator is responsible for the development, coordination, and maintenance of the provider network for the Program of All-Inclusive Care for the Elderly (PACE)
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PROVIDER NETWORK COORDINATOR - PACE
Alhambra, CA · On-site
$28 - $38/hr
Job Purpose The Provider Network Coordinator is responsible for the development, coordination, and maintenance of the provider network for the Program of All-Inclusive Care for the Elderly (PACE)
Provider Network Manager
El Monte, CA · On-site
$80K - $90K/yr
Provider Network Manager Department: Market Ops - APC Employment Type: Full Time Location: 9700 ... This position does not have direct reports but plays a critical role in influencing outcomes ...
Provider Network Manager
El Monte, CA · On-site
$80K - $90K/yr
Provider Network Manager Department: Market Ops - APC Employment Type: Full Time Location: 9700 ... This position does not have direct reports but plays a critical role in influencing outcomes ...
WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Provider Network Development Manager, this position ... direct or transferable experience related to the position, education, or training), as well as ...
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WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Provider Network Development Manager, this position ... direct or transferable experience related to the position, education, or training), as well as ...
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WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Provider Network Development Manager, this position ... direct or transferable experience related to the position, education, or training), as well as ...
New
Quick apply
WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Provider Network Development Manager, this position ... direct or transferable experience related to the position, education, or training), as well as ...
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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?
| Aspect | Director Provider Network Development | Provider Network Manager |
|---|---|---|
| Credentials | Bachelor's degree, industry certifications often preferred | Bachelor's degree, relevant certifications beneficial |
| Work Environment | Strategic planning, high-level decision making, cross-department collaboration | Operational management, provider relations, network oversight |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Health plans, healthcare providers, insurance firms |
| Search & Comparison Intent | Strategic development, network expansion, leadership roles | Operational 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 California? The most popular types of Provider Network Development jobs in California are:
What are popular job titles related to Director Provider Network Development jobs in California? For Director Provider Network Development jobs in California, the most frequently searched job titles are:
What job categories do people searching Director Provider Network Development jobs in California look for? The top searched job categories for Director Provider Network Development jobs in California are:
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Scripps Health rating
8.6
Based on 137 frontline employees who took The Breakroom Quiz
11th of 877 rated healthcare providers
Job description
Location: La Jolla, San Diego
This position is eligible to participate in the Director Incentive Plan.
Founded in 1924, Scripps Health is a $5 billion, private nonprofit health system based in San Diego, founded in 1924 by philanthropist Ellen Browning Scripps. Serving over 600,000 patients annually, it operates five acute-care hospitals, 30 outpatient centers, and a wide physician network of 3,000 affiliated doctors and 17,800 employees. Recognized nationally for excellence, Scripps has earned top rankings from Great Place to Work and Becker's Healthcare and maintains an AA rating with a stable outlook from S&P Global Ratings due to its strong leadership and financial performance.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
At Scripps Health, your ambition is empowered, and your abilities are appreciated:
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
- Scripps is a Great Place to Work Certified company for 2025.
- Scripps has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
- Beckers Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
- We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve Scripps Health Plan members.
What will you do?
Oversee the credentialing, provider database, contracting, and provider relations teams.
- Lead provider relations functions, including training, problem-solving, and provider satisfaction initiatives for all medical groups, IPAs, institutional providers, and ancillary providers.
- Be responsible for Customer Service related to both member and provider inquiries.
- Maintain provider directories for all contracted IPAs and medical groups.
- Support Scripps' integrated delivery system. Scripps Health Plan operates as both an MSO and a KK-licensed plan for large commercial groups.
- Manage relationships related to Scripps Health Plan's plan-to-plan risk arrangements with major HMO plans.
Serve in a role that blends financial analysis, contract negotiations, operational efficiency, and system-wide impact, working extensively with Scripps Health Plan Services, stakeholders across the organization, and external providers and vendors.
#LI-JS1Required Education/Experience/Specialized Skills:
At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA level of which four years must be in a leadership capacity.
Preferred Education/Experience/Specialized Skills/Certification:
Masters degree in healthcare administration or similar
Epic Tapestry experience
Negotiation skills, creating policies and procedures and leading multiple teams.
What Scripps Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Scripps Health
Sourced by ZipRecruiter
As a nationally recognized health system, Scripps Health is committed to providing the highest quality care to our patients. Through collaboration and innovation, our healthcare professionals lead the frontier in caring for our community. With a culture centered around teamwork, each laboratory site serves as a resource of support for each other, setting our laboratories as the benchmark for standardization.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
San Diego, CA, US
Year founded
1924