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Director Provider Network Development Jobs in Georgia

... network development reporting, provider data reporting and data comparisons for start up and ... Direct oversight for Credentialing function (in partnership with QI) ensuring the process between ...

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 ...

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 ...

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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:
VP, Provider Network Development

VP, Provider Network Development

Emory Healthcare

Atlanta, GA • Hybrid

Full-time

Posted 12 days ago


Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

158th of 876 rated healthcare providers


Job description

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

  • Comprehensive health benefits that start day 1 
  • Student Loan Repayment Assistance & Reimbursement Programs 
  • Family-focused benefits  
  • Wellness incentives 
  • Ongoing mentorship, development, and leadership programs  
  • And more  

Work Location: Atlanta, GA


The VP, Provider Network Development leads the strategic design, transaction execution, and growth of Emory Healthcare's provider network in alignment with the enterprise's quality, service, and growth objectives. Partnering closely with the SVP, Corporate Development, this leader drives the development of an integrated, high-performing network of employed and affiliated physicians, advanced practice providers, community partners, and regional collaborators - advancing Emory Healthcare's market position through disciplined transaction management and physician alignment strategy.

This role provides transactional leadership across all phases of provider alignment model execution, serving as the primary point of contact for internal and external stakeholders across the full deal lifecycle - from opportunity identification through post-closing integration

Transaction Execution & Deal Management

  1. Lead end-to-end physician and provider group transaction processes, including sourcing, due diligence, valuation, negotiation, deal structuring, and post-closing integration handoff
  2. Partner with internal and external legal counsel to develop, negotiate, and execute letters of intent and definitive agreements across employment models, professional services agreements (PSAs), co-management agreements, joint ventures, and affiliations
  3. Review and critically evaluate pro formas and business case documents prepared by the FP&A team; apply rigorous financial acumen to assess deal economics
  4. Manage valuation processes with external consultants to confirm fair market value of transactions, including quality of earnings adjustments, pro forma/normalization calculations, and working capital analysis
  5. Assemble, review, and finalize internal project summaries and executive presentations for leadership review and approval
  6. Manage the pipeline of potential transactions - acquisitions, joint ventures, and affiliations - and develop roadmaps for new geographic markets and service line expansion

Physician Alignment & Network Strategy

  1. Design and maintain a portfolio of medical group alignment models - employment, PSA, co-management, and others - tailored to specific market and physician group opportunities
  2. Educate and socialize alignment models with key decision-makers across the organization, ensuring stakeholders understand the applicability, structure, and implications of each model
  3. Collaborate with department chairs, EHN leadership, hospital leadership, practice leadership, strategy, and finance to optimize network alignment and performance
  4. Secure necessary approvals from within Emory Healthcare and the medical groups throughout the transaction and alignment process
  5. Identify affiliation opportunities in new and existing markets; build and manage a disciplined transaction pipeline aligned with enterprise growth priorities

Compliance & Regulatory Oversight

  1. Ensure all provider transactions and alignment arrangements comply with applicable regulatory requirements, including Stark Law, Anti-Kickback Statute, Certificate of Need (CON), and other federal and state health care regulations
  2. Partner with legal and compliance teams to structure transactions in a manner that mitigates legal and financial risk to Emory Healthcare

Additional Duties as Assigned

Travel: Travel between Emory operating units and affiliated sites

Work Type: Hybrid employee - may split time between working remotely and working in the office

Minimum Required Qualifications:

  • Bachelor's degree in Business Administration, Healthcare Administration, or a related field
  • 1. 5+ years of professional experience in physician transaction-related business
  • Demonstrated success in physician recruitment, alignment, contracting, and large-scale integration initiatives
  • Experience indicating an ability to present complex matters to executive leadership to drive decision making, followed by the translation of high-level guidance into executable plans

Knowledge, Skills & Abilities:

  • Demonstrated success in physician recruitment, alignment, contracting, and large-scale integration initiatives
  • Deep knowledge of physician alignment models, medical group operations, deal structuring, and healthcare finance
  • Proven ability to lead cross-functional teams and manage multiple simultaneous transactions in a complex health system environment
  • Strong executive presence with the ability to present complex matters to senior leadership and translate strategic direction into executable transaction plans
  • Excellent communication, negotiation, project management, and stakeholder engagement skills

Preferred Qualifications:

  • Master's degree in Business Administration, Healthcare Administration, or a related field

Knowledge, Skills & Abilities

  1. Familiarity with value-based care models, payer strategy, and population health frameworks as they relate to provider network design
  2. Experience with both employed and affiliated physician models across multiple markets or geographies
  3. Working knowledge of healthcare regulatory frameworks including Stark Law, Anti-Kickback Statute, and state CON requirements

PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs., 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.


Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.


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