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Director Provider Network Development Jobs in Michigan

Quantum Infotech

Network Engineer

Troy, MI

Started with the principle of providing outstanding service in identifying and delivering IT ... Standard best practices for network development and design. * Networking, Telephony and VoIP ...

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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 Michigan? The most popular types of Provider Network Development jobs in Michigan are:
What are popular job titles related to Director Provider Network Development jobs in Michigan? For Director Provider Network Development jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Director Provider Network Development jobs in Michigan look for? The top searched job categories for Director Provider Network Development jobs in Michigan are:
What cities in Michigan are hiring for Director Provider Network Development jobs? Cities in Michigan with the most Director Provider Network Development job openings:
Director Provider Network Development jobs near you
Director, Provider Compensation

Director, Provider Compensation

Spectrum Health

Grand Rapids, MI

$120.10K - $164.20K/yr

Full-time

Medical, Retirement

Posted 22 days ago

Job description

Job Summary
This role includes strategic direction and general compensation design, planning and implementation of the provider compensation plans. Serves as a consultant to senior management regarding provider compensation policies, programs, and issues. Provides routine reports and support to physicians and other relevant stakeholders regarding compensation levels. Is available to educate and answer questions regarding changes to compensation methodologies and/or regulations. The leader is also responsible for administration of approved provider compensation plans. Directs the activity of professional staff who perform the following as it relates to provider compensation:
  • Market Analysis - including facilitate survey participation, market price jobs, analyze the organization's competitive position
  • Design, plan and implement compensation models (including management of consulting relationships
  • Maintain plan documents
  • Directs the administration of the provider compensation plan, ensuring accuracy of all data used for physician compensation (includes financial analysis and reporting)
  • Manage the administration of salary planning for providers
  • Provide support for governance and approval bodies
  • Administer status changes for providers (FTE change, compensation change, bonus payments, etc.
  • Maintains provider listings (supports listing for malpractice participation)
  • Proactively identify physician practices that need improvement, review, and/or change for a variety of reasons. In addition, responsible for identifying and communicating "best practices" or policies and key metrics when performing physician practice evaluations.
  • Develops and supervises reliable, timely, and efficient processes for managing physician compensation arrangements.
  • Develops management tools and metrics to monitor the performance of physician compensation relative to the budget.
  • Remains educated on industry trends around physician compensation and acts as a proactive consultant and advisor to Senior Leadership.
Essential Functions

Compensation Design, Implementation and Communication

  • Leading the process for developing, transitioning, evolving and implementing the provider compensation model (including base pay, variable pay and incentive pay)
  • Directs the development of communications associated with provider compensation activities
  • Develops, prepares and updates policies and procedures affecting provider compensation
  • Responsible for preparation, facilitation, administration and documentation of provider compensation related meetings, committees and forums (i.e. Executive Compensation Committee, Compensation Sub-Committee and all new compensation model related forums)

Compensation Administration

  • Provides oversight for the financial modeling and calculation of provider compensation and incentive plans
  • Directs the analytical support and reporting related to the management and maintenance of the provider compensation plan, including: Clinical Compensation, Incentives and Bonuses, Outside Income/Stipends, Contractual Salaries and Salary Guarantees, and Support for FMV review
  • Insures data management incorporates use of appropriate and validated source systems, efficient data collection tools, integrity of data sources, etc.
  • Insures appropriate confidentiality of data sources at all times
  • Directs the annual salary process for physicians
  • Maintains benchmark data for use in provider compensation
  • Develops redundancies to validate and verify compensation reconciliations.

Compliance

  • Collaborates with legal counsel and health system leadership to ensure observance of organizational policies, Stark law, Anti-Kickback legislation, etc.
  • Is a subject matter expert for the organization regarding rules, regulations, standards, and emerging trends impacting physician compensation arrangements
  • Works with Internal Audit related to review of the plan administration

Leadership & Strategic Direction

  • Manages relationships with external provider compensation vendors and consultants
  • Counsels dyad leadership as to the effective administration within provider compensation guidelines
  • Directs the activities of professional staff. Provides direction and support of direct reports to ensure effectiveness and efficiency. Establishes work standards. Selects, trains, develops and evaluates direct reports
  • Provides exceptional service to customers by anticipating needs, following standard work, proactively communicating and providing consistent timely and accurate information
  • Supports decision making related to provider compensation - including recommendation and appropriate documentation to streamline communication and decisions
  • Serves as the primary point of contact for the organization related to physician compensation and contract administration.
  • Exhibits professional behavior and represents the organization's mission and vision

Market Analysis

  • Manages the compilation of provider compensation data for submission to local, regional and national salary surveys and directs the analysis of information to determine the organization's competitive position
  • Manages the provider salary administration programs including market pricing and development and maintenance of formal job grades and salary ranges where applicable
  • Responsible for understanding and sharing changes and trends occurring in the provider compensation market
  • Conduct market analysis, such as community need assessments, programmatic need assessment, feasibility studies, and call burden analysis as needed
  • Provide analysis to validate recruitment needs
  • Develop contracting parameters for new physician hires

Budgeting

  • Manages the annual provider salary planning budget and review process
Qualifications

Required

  • Bachelor's Degree
  • 5 years of relevant finance, human resources, or compensation experience
  • 3 years of relevant leadership experience
  • Demonstrated finance leadership or equivalent public accounting experience

Preferred

  • Master's Degree
  • Provider compensation experience
    Physical Demands
    • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
    • Waist to Waist > 5 lbs: Seldom up to 10 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom up to 10 lbs
    • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Pushing Force > 5 lbs: Seldom up to 10 lbs
    • Pulling Force > 5 lbs: Seldom up to 10 lbs
    • Sitting: Frequently
    • Standing: Occasionally
    • Walking: Occasionally
    • Forward Bend - Standing: Seldom
    • Forward Bend - Sitting: Occasionally
    • Trunk Rotation - Standing: Seldom
    • Trunk Rotation - Sitting: Occasionally
    • Reach - Above Shoulder: Seldom
    • Reach - at Shoulder or Below: Seldom
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Seldom
    • Forceful Pinch > 2 lbs: Seldom
    • Finger/Hand Dexterity: Frequently

    How Corewell Health cares for you
    • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
    • On-demand pay program powered by Payactiv
    • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
    • Optional identity theft protection, home and auto insurance
    • Traditional and Roth retirement options with service contribution and match savings
    • Eligibility for benefits is determined by employment type and status

    Primary Location

    SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

    Department Name

    Physician Compensation - Corporate

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8 a.m. to 5 p.m.

    Days Worked

    Monday to Friday

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.

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