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Director Provider Network Development Jobs in Georgia

Orcha Systems

Network Technician

Warner Robins, GA

$21.50 - $27.50/hr

We are looking for a skilled Network Technician to undertake tasks of network development and ... Provide technical direction to co-workers on the computer and network usage and offer comprehensive ...

Orcha Systems

Network Technician

Warner Robins, GA

$21.50 - $27.50/hr

We are looking for a skilled Network Technician to undertake tasks of network development and ... Provide technical direction to co-workers on the computer and network usage and offer comprehensive ...

Orcha Systems

Network Technician

Warner Robins, GA

$21.50 - $27.50/hr

We are looking for a skilled Network Technician to undertake tasks of network development and ... Provide technical direction to co-workers on the computer and network usage and offer comprehensive ...

OneVeracity

Provider Access Coordinator

Kennesaw, GA · On-site

Verify network status of providers and facilities and ensure members are directed to in-network options. * Assist with single case agreements and direct pay contracts for out-of-network providers.

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YMCA

Youth Development Director

Atlanta, GA · On-site

The Youth Development Director provides hands-on leadership for the development and operations of youth events. NATURE AND SCOPE: Under the general direction of the Associate or Executive Director ...

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Director Provider Network Development information

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 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 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 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 Georgia? The most popular types of Provider Network Development jobs in Georgia are:
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What job categories do people searching Director Provider Network Development jobs in Georgia look for? The top searched job categories for Director Provider Network Development jobs in Georgia are:
What cities in Georgia are hiring for Director Provider Network Development jobs? Cities in Georgia with the most Director Provider Network Development job openings:
Director Provider Network Development jobs near you
Infographic showing various Director Provider Network Development job openings in Georgia as of May 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.
Director, Provider Data & Analytics

Director, Provider Data & Analytics

Centene Corporation

Atlanta, GA • On-site

$113.10K - $209.10K/yr

Full-time

Medical, Retirement, PTO

Posted 7 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 382 frontline employees who took The Breakroom Quiz

32nd of 864 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a hybrid position that requires at least 2 days per week in office.
Position Purpose: Oversee all of the reporting and data requirements for the health plan, including but not be limited to such activities as: encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for directory submissions, maintenance of data among multiple systems for integrity, operational scorecards, and other reporting and data requirements as defined by the plan.
  • Oversee Provider Data Department including provider set up forms, maintenance of provider records and audit provider data records as well as management of all coordinator staff.
  • Direct oversight for Credentialing function (in partnership with QI) ensuring the process between credentialing and provider data integrity is seamless.
  • Create, validate and produce reports for state or other reporting needs.
  • Support and participate in production of GeoAccess reports and provider network reports required for submission to the state on an ongoing basis.
  • Coordinate with Provider Relations and Claims to address Network Data errors.
  • Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues.
  • Responsible for working with the QI department in the development of QI and credentialing reports.
  • Accountable for any ad hoc reporting needs as defined by the health plan.

Education/Experience: Bachelor's degree in a related area or equivalent experience. 7+ years of experience in a similar position in a health plan or network setting. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
Pay Range: $113,100.00 - $209,100.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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