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Director Provider Network Development Jobs in Missouri

Development Director

Rolla, MO · On-site

$55K - $60K/yr

Description Choices for People provides year-round support and instructional programs designed to ... Position Summary The Development Director provides strategic leadership and oversight of the ...

Development Director

Rolla, MO · On-site

$55K - $60K/yr

Position Summary The Development Director provides strategic leadership and oversight of the ... organization's resource development, marketing, and fundraising initiatives. Reporting directly to ...

DIRECTOR DEVELOPMENT

Saint Louis, MO · On-site

$120 - $135/hr

Establishes annual monetary goals and provides regular updates to Executive Director/CEO * Manages actual fundraising and development process, ensures accurate records of receipts and accounts for ...

Director of Development Status: Full time, Exempt Reports To: Executive Director of Stewardship and ... Track progress toward fundraising goals and provide regular activity and results reporting Events ...

Showing results 21-40

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 Missouri? The most popular types of Provider Network Development jobs in Missouri are:
What are popular job titles related to Director Provider Network Development jobs in Missouri? For Director Provider Network Development jobs in Missouri, the most frequently searched job titles are:
What cities in Missouri are hiring for Director Provider Network Development jobs? Cities in Missouri with the most Director Provider Network Development job openings:

Lead Director, Medical Affairs Network

Hispanic Alliance for Career Enhancement

California, MO • On-site

$100 - $231.54/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

This is a remote position and may be performed from any location within the United States (any U.S. time zone).

Working hours will align to the team/business needs.

Position Summary

The Lead Director, Provider Performance collaborates with the Med Affairs Network team to ensure it is data-driven and following through on its commitments. The role is a key enabler of the Med Affairs network team, working with partner analytics functions to measure and improve performance of the team and its network provider partners on outcomes that matter, including med cost, quality, and experience across all lines of business and regions. For new initiatives driven by the team, this role will help track, facilitate, and find cross-functional opportunities. Key partners will be the medical economics unit, network performance team, value-based contracting team, and analytics and behavior change team as the team seeks to drive best in class data analysis and develop tools to assist with progress and performance management for the area.

The Lead Director, Provider Performance acts independently to address issues, guide direction, and provide analysis for performance management and planning initiatives. This leadership role will include evaluation of business challenges with providers, identifying and seizing new opportunities, prioritizing critical issues, securing executive level buy-in, implementing change, and generating demonstrable impact. In addition, this Lead Director will facilitate efforts to develop clinical strategies and implement new innovative projects to help drive performance.

Primary Job Duties & Responsibilities

The Lead Director works across the Aetna and CVS enterprise in a highly collaborative partnership with multiple business units to drive better

VBC and other clinical outcomes and cost-savings initiatives. The Lead Director is responsible for identifying opportunities, driving execution and monitoring performance to achieve desired outcomes.

Responsibilities
  • Lead and manage multifaceted strategic projects and programs, ensuring the end state of the project meets business objectives, agreed upon metrics and outlines deliverables with due dates.
  • Advise leadership on project status, risks and recommended actions to support informed decisions.
  • Develop strategies to manage and monitor project performance for the Network Med Affairs team.
  • Drives evaluation of performance and related impact including identifying lessons learned and implementing best practices.
  • Engage with cross-functional teams to identify improvement opportunities.
  • Develop analyses, presentations and other reporting materials to successfully implement performance monitoring and improvement initiatives and socialize work to stakeholders.
  • Navigate a highly matrixed, collaborative work environment to meet goals. Skilled at developing positive interpersonal relationships with stakeholders across the enterprise to facilitate effective collaboration.
  • Proactively identify and take action to solve management and business problems.
  • Ensure consistent, efficient, and cost effective processes, procedures, and appropriate accountability.
Required Qualifications
  • Data analytics skills
  • Adept at execution and delivery (planning, delivering, and supporting) skills
  • Adept at business intelligence software (PowerBI, Tableau, etc.) and Microsoft Office Suite (PowerPoint, Excel, Word, Outlook)
  • Adept at collaboration and teamwork
  • Mastery of problem solving and decision making skills
  • Mastery of growth mindset (agility and developing yourself and others) skills
  • 10+ years work experience
  • Healthcare experience including value based care and managed care for 3+ years
  • People Leadership Experience
Preferred Qualifications
  • Project management experience/certifications
  • Experience in highly matrixed organization
Education

Bachelor's degree required.

Preferred Qualifications: Master's Degree in related area (MBA, MHA, MPH, etc.) or equivalent work experience in the managed care environment.

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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