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Director Provider Network Development Jobs in New Mexico

Lowe's

Field PROvider Manager

Albuquerque, NM · On-site

Manages the relationship and performance of the service provider network through direct interaction with the service providers and B2B meetings leveraging insights/takeaways from Centralized Business ...

Peraton

Director, Business Development

Albuquerque, NM · On-site

$176K - $282K/yr

As a key member of our Space & Intelligence Sector, you will provide leadership, critical thought ... A deep network of relationships across Air Force and Space Force acquisitions and operations teams.

Peraton

Director, Business Development

Albuquerque, NM · On-site

As a key member of our Space & Intelligence Sector, you will provide leadership, critical thought ... A deep network of relationships across Air Force and Space Force acquisitions and operations teams.

JCS Solutions LLC

$103K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... concert to provide intelligent and scalable global server load balancing (GSLB), secure DNS ... groups and directing the efforts of adjacent infrastructure and development teams. * Prior ...

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Director Provider Network Development information

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 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 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 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 New Mexico?

The most popular types of Provider Network Development jobs in New Mexico are:

What job categories do people searching Director Provider Network Development jobs in New Mexico look for?

The top searched job categories for Director Provider Network Development jobs in New Mexico are:

What cities in New Mexico are hiring for Director Provider Network Development jobs?

Cities in New Mexico 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 New Mexico as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

DIRECTOR, CONTRACTING & PROVIDER RELATIONS - UNM HOSPITAL - ALBUQUERQUE, NM

UNM HOSPITALS

Albuquerque, NM • On-site

$120 - $180/hr

Other

Posted 13 days ago

Job description

Compensation Disclaimer

Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

Department: Provider Network Development

FTE: 1.00; Full Time; Shift: Days

UNM Health provides the highest quality of care for more than 200,000 New Mexicans each year. In 1952, UNM Hospital was built on Native American grounds, with the promise to provide culturally competent and inclusive care to all New Mexicans. Since then, UNM Health has followed through with their mission of accessible, affordable care. UNM Health provided over $44 million in charitable care and financial assistance for services not covered by insurance or federal programs in 2018.UNM Health is New Mexico's only Level I Trauma Center—we care for patients with the most complex conditions from across the state. Additionally, we are the first NIH-designated Comprehensive Cancer Center and award-winning Advanced Care Stroke Center. UNM Health providers specialize in over 150 areas of medicine and employ over 7,000 professionals. Together, we receive 900,000 outpatient visits, 22,000 surgical cases and 100,000 emergency room visits each year.

Position Summary: This position is responsible for the strategic leadership, development and management of the provider network contracting and provider relations activities of the health plan. This role leads and participates in contract negotiations, network development, provider performance initiatives and provider engagement and training activities. Leads the development of an adequate, high quality, cost-effective provider network that supports UNM Health Insurance Plan (Plan) goals and priorities, meets or exceeds network adequacy and compliance standards. The Director will oversee provider contracting, network development, provider onboarding, provider education, issue resolution and provider performance initiatives. The position collaborates closely with executive leadership, medical management, claims, quality, and compliance teams to support organizational growth and provider and member satisfaction. Ensure adherence to Hospital and departmental policies and procedures. No patient care assignment.

Detailed responsibilities:

  • CONTRACTING – Develops and execute provider contracting strategies that support the organization’s goals and financial targets
  • NEGOTIATION – Leads negotiations with hospitals, medical groups, facilities, ancillary, behavioral health and long-term care providers
  • CONTRACTING – Oversees contract implementation, amendments, renewals and terminations; serves as a key liaison between the Plan and the provider community
  • COMPLIANCE – Ensures network adequacy is maintained in accordance with federal, state, and accreditation requirements
  • PROJECT MANAGEMENT - Collaborates closely with Plan Senior Leadership, the Plan’s Third-Party Administrator and Hospital’s finance, legal, human resources, operations, quality and clinical teams as necessary
  • PROCESS IMPROVEMENT - Facilitates resolution of complex provider disputes and issues
  • STRATEGIC INITIATIVES - Collaborate with providers to improve operational efficiency, member experience and quality outcomes
  • LEADERSHIP - Recruits, trains and mentors Provider Contracting and Relations team
  • KNOWLEDGE - Evaluates market trends, competitor activity and provider landscape to inform policy and policy development
  • COMMUNICATIONS - Develops and maintains strong relationships with contracted providers, Plan’s Third-Party Administrator and other identified healthcare organizations
Qualifications

Education:

  • Essential:
  • Bachelor's Degree
  • Education specialization:
  • Essential:
  • Related Discipline

Experience:

  • Essential:
  • 5 years directly related experience
  • Nonessential:

Credentials:

Physical Conditions:

  • Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

Working conditions:

  • Essential:
  • Minor Hazard - physical risks, dirt, dust, fumes, noise
  • Tuberculosis testing is completed upon hire and additionally as required

Relocation Assistance Available

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