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Director Provider Network Development Jobs in Minnesota

SA Technologies Inc.

Network Engineer

Milaca, MN

Company Description All SA Technologies requirements are Direct Client Requirements from IT Hiring ... devices in a provider network. This person will work as a team member with engineers from ...

CVS Health

Contract Manager

Duluth, MN · On-site

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Bloomington, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Plymouth, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Blaine, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Lakeville, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Saint Paul, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Rochester, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Minneapolis, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Brooklyn Park, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

CVS Health

Contract Manager

Woodbury, MN

$60.30K - $132.60K/yr

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or ...

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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 Minnesota? The most popular types of Provider Network Development jobs in Minnesota are:
What are popular job titles related to Director Provider Network Development jobs in Minnesota? For Director Provider Network Development jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Director Provider Network Development jobs in Minnesota look for? The top searched job categories for Director Provider Network Development jobs in Minnesota are:
What cities in Minnesota are hiring for Director Provider Network Development jobs? Cities in Minnesota 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 Minnesota as of May 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 92% In-person, and 8% Remote job distribution.
Provider Network Operations Analyst

Provider Network Operations Analyst

HealthPartners

Bloomington, MN • On-site

$34.28 - $51.42/hr

Full-time

Medical, Retirement

Posted 18 days ago

HealthPartners rating

7.8

Company rating: 7.8 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

130th of 864 rated healthcare providers

Job description

Job Description
HealthPartners is hiring a Provider Network Operations Analyst. This role promotes and supports provider network related activities within our division and within the organization to ensure HealthPartners provider networks meet sales, regulatory, marketing and administrative system requirements. They manage and coordinate resolution to complex operational issues related to provider network configuration. This position may lead and/or participate in work groups, conduct training, is responsible for addressing operational processes, including issues and questions both internally and externally, and will track and monitor provider network configuration activities.
ACCOUNTABILITIES:
  1. Understands and support HealthPartners Provider Electronic Commerce and Operations to effectively promote provider network compliance with regulatory areas, both internal and external.
  2. Understands, supports and participates in provider network adequacy monitoring by regulatory agencies such as CMS, DHS, MDH and NCQA.
  3. Participates in cross department work groups involving new network planning, network changes, and implementation including custom networks, new product offerings and specialized networks like COE and high value/preferred providers.
  4. Analyzes provider network terminations and collaborates with other departmental staff on individual providers, clinic and facility terminations to ensure provider network adequacy requirements are met.
  5. Acts as the primary resource for internal departments for provider delivery network questions and new network implementations.
  6. Participates in the creation, review, revision, and maintenance of training materials for internal staff related to changes or revisions to provider delivery networks affecting operations, and involve internal and external parties as needed.
  7. Collaborates with Provider E-Commerce and Operations leaders and staff to prepare for network changes impacting CPN or process flows, and documentation of processes.
  8. Identify, evaluate, and implement CPN database enhancements related to provider network configuration to meet business requirements.
  9. Coordinates provider delivery network configuration set-up and communications on behalf of Provider E-Commerce and Operations including tracking of communications and internal audits.
  10. Analyzes network adequacy requirements to ensure networks meet regulatory requirements for new areas of business.
  11. Identifies areas for ongoing process improvement in areas that impact the department, and cross-departmentally. Participates in the development and implementation of process improvements, including feasibility of automating processes if applicable.
  12. Supports other business areas in ongoing service needs.
  13. Analyzes and produces reports on a monthly, quarterly or ad hoc basis.
  14. Participate in and create business continuity and disaster recovery plans, tests and revisions.
  15. Performs other duties as assigned.
    REQUIRED QUALIFICATIONS:
  • Bachelor's Degree in a related field (business, compliance, project management, health care)
  • Five years work experience in a related field (compliance, credentialing, contracting, business or system analysis, project management, managed health care, operations) utilizing MS Office applications
  • One year work experience involving provider data (e.g. credentialing, provider contracting).
  • Proven ability to work independently.
  • Proven organizational skills and the ability to multi-task in a fast paced environment.
  • Proven team building skills.
  • Demonstrated excellent analytical and problem solving skills.
  • Demonstrated ability to take responsibility for performance and attitude on the job.
  • Demonstrated ability to work collaboratively with others both inside and outside the organization.
  • Ability to work well with broad and different audiences.
  • Demonstrated ability to take responsibility for performance and attitude on the job.
  • Proficient in Microsoft Excel (e.g. data comparison features, filtering, graphing)

PREFERRED QUALIFICATIONS:
  • Experience with HealthPartners Consolidated Provider Network (CPN) application.
  • Hands-on experience creating training, procedural and policy documentation.
  • Training experience, preferably in managed care and/or health care operations.
  • Experience in working in health insurance industry.
  • Project management experience.
  • Reporting experience using Business Objects, MS Access or other reporting tools
  • SharePoint experience

About Us
At HealthPartners we believe in the power of good - good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Benefits Designed to Support Your Total HealthAs a HealthPartners colleague, we're committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.
Join us in our mission to improve the health and well-being of our patients, members, and communities.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

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