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Director Provider Network Development Jobs in Georgia

... 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 ...

Director, Provider Operations

Atlanta, GA · On-site

$147K - $193K/yr

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

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

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

... 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 ...

... 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 ...

The Provider Network Associate supports the overall accessibility, availability and quality of Oscar's Provider Network through the execution of specific network development functions. This role will ...

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... provider network development and management, compliance, reconciliation, quality assurance, risk management, information technology, training, and business office functions. Drives operational ...

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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 Georgia? The most popular types of Provider Network Development jobs in Georgia are:
What are popular job titles related to Director Provider Network Development jobs in Georgia? For Director Provider Network Development jobs in Georgia, the most frequently searched job titles 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:
Network Development Manager

Network Development Manager

Wellbe Senior Medical

Atlanta, GA • On-site

$90K - $125K/yr

Other

Re-posted 10 days ago


WellBe Senior Medical rating

7.2

Company rating: 7.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Job Summary

Come reimagine care with us! We're on a mission to change the way medical care is delivered around the country.

By supplying home-based medical care to patients who need it most, WellBe is changing lives by providing care wherever our patients call home. WellBe's primary care services are delivered by a team of licensed clinicians in the comfort of the patient's home. By combining the strength of physicians, nurse practitioners, social workers, paramedics, and other healthcare professionals, WellBe delivers an extra level of support to the patients we serve in their communities. 

This high-risk population is typically underserved and challenged with access to care which we provide. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe's clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum - from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care.

Joining WellBe means joining a growing, purpose-driven organization to deliver the highest quality care to our senior communities and to make an impact on lives every day.

Job Description

The Network Development Manager's role is an exciting and highly visible internal and external position responsible for collaborating with the National Director of Network Management and Chief Product Officer in developing, implementing, and maintaining WellBe's strategic provider relationships. The Network Development Manager will assist in supporting all activities to develop this new and innovative network of providers. The Network Development Manager plays a critical role in:

  • Aligning, implementing, and executing on WellBe's strategic provider partnership strategy to drive provider and patient engagement
  • Building, developing, and maintaining key business relationships with assigned complex provider's (Health Systems, IPA's, ACO's, hospitals, etc.)
  • Acting as the dedicated liaison and escalation resource between WellBe and assigned providers
  • Advocating and implementing continuous improvement and simplification initiatives for provider partnership strategy in order to improve the overall provider and member experience
  • Contributing to a high performing Network Development team by surpassing goals, fostering relationships, and driving provider engagement for the organization
  • Serve as the leader, manager, and mentor to direct reports
  • Completing other duties as assigned

SKILLS & COMPETENCIES

  • Must have great interpersonal skills, presentation skills, and excellent verbal and written communication
  • Experience in presenting to executives, healthcare administrators, providers, and external stakeholders
  • Proven ability to establish and maintain durable and complex strategic relationships with providers and facilities
  • Experience working in an autonomous environment with a demonstrated ability to organize, take initiative, lead, and follow-up with minimal supervision
  • Ability to think, work independently, and make decisions, while adhering to company standards and guidelines
  • Experience in building operations from the ground-up
  • Experience working in a fast-paced dynamic growth environment with conflicting priorities while being persistent in accomplishing goals and self-motivated
Job Requirements

Educational Requirements/Relevant Experience:

  • Bachelor's degree required
  • Minimum of 5 years' experience within Network Development, Network Management, Payer & Provider Relations, Business Development, Medical Device Sales, or Pharmaceutical Sales roles
  • Knowledge of different value-based care models, preferred
  • Knowledge of health plan and provider operations, required

Pay Transparency

$90,000 - $125,000 based on experience 

Work Environment

Willingness to travel throught Atlanta, GA Metro 50% of the week

Sponsorship StatementWellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.Pay Transparency StatementCompensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.Drug Screening Requirement: As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company's Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee's ability to safely and effectively perform their job duties.Background Check StatementEmployment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.Equal Employment Opportunity (EEO) StatementWellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status.Americans with Disabilities ActWellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you requirean accommodation during the application, interview or employment process, please contact Human Resources at HRPeopleLine@wellbe.comAt-Will Employment StatementEmployment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract.DisclaimerThis job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary

Supervisory Responsibility: This role will start off as an individual contributor role and quickly become a leader with supervising responsibilities.

Travel requirements: Travel may be required up to 50% locally or nationally

Work Conditions: Ability to lift up to 20lbs.  Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 50lbs. 

  • Ability to stand for extended periods
  • Ability to drive to patient locations (ie. home, hospital, SNF, etc)
  • Fine motor skills
  • Visual acuity
  • .

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification.  Management reserves the right to add, modify, change or rescind the work assignments of this position.  Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role. 

Employment Type: OTHER

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