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Director Provider Network Development Jobs in Tennessee

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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 Tennessee? The most popular types of Provider Network Development jobs in Tennessee are:
What are popular job titles related to Director Provider Network Development jobs in Tennessee? For Director Provider Network Development jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Director Provider Network Development jobs in Tennessee look for? The top searched job categories for Director Provider Network Development jobs in Tennessee are:
What cities in Tennessee are hiring for Director Provider Network Development jobs? Cities in Tennessee 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 Tennessee as of July 2026, with employment types broken down into 100% Full Time. Highlights an 91% In-person, and 9% Remote job distribution.

Provider Contracting Specialist

Prime Health Services

Franklin, TN • On-site

Full-time

Re-posted 19 days ago

Job description

Job Type
Full-time
Description
Provider Contracting Specialist (Healthcare Network Development)
Location: Franklin, TN (In-Office)
We're seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare network. In this role, you will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary facilities to join our PPO network.
This position is ideal for someone who enjoys relationship-building, negotiation, and working in a fast-paced healthcare environment with measurable goals.
What You'll Do
  • Recruit and onboard healthcare providers (physicians, facilities, ancillary providers) into the PPO network
  • Negotiate reimbursement rates and contract terms aligned with company and regulatory guidelines
  • Manage contracting activities within assigned geographic regions
  • Build and maintain strong relationships with provider offices and group administrators
  • Support network expansion initiatives, including specialty networks and client-specific projects
  • Analyze proposed reimbursement rates to ensure alignment with internal guidelines
  • Track progress and maintain accurate records in internal systems
  • Participate in outreach campaigns via phone, email, and targeted initiatives
  • Resolve provider contract issues and escalate as needed
  • Collaborate with internal stakeholders to execute contracts efficiently

Requirements
What We're Looking For
  • Bachelor's degree in Business, Healthcare Administration, Communications, or a related field (or equivalent experience)
  • 1+ year of experience in healthcare, managed care, or provider contracting
  • Strong communication and negotiation skills
  • Ability to manage multiple priorities in a deadline-driven environment
  • Analytical mindset with attention to detail
  • Proficiency with Microsoft Office tools (Excel, Word, Outlook)
  • Self-motivated, adaptable, and comfortable working with performance goals and metrics

What Sets You Apart
  • Experience with provider network development or payer contracting
  • Familiarity with workers' compensation, group health, or liability networks
  • Background in healthcare sales, recruiting, or provider relations

Why Join Us
  • Opportunity to play a direct role in expanding a national healthcare network
  • Exposure to contract negotiation and healthcare economics
  • Clear path for growth into Network Development or Contracting Leadership roles
  • Collaborative, team-oriented environment
  • Competitive compensation with performance expectations

Work Environment
  • Office-based role with occasional travel for provider meetings as needed
  • Fast-paced, goal-oriented team environment

About Prime Health Services
Since 2001, Prime Health Services (PHS) has been a leader in medical cost containment and provider network development. Our nationwide PPO Network supports insurance carriers, TPAs, self-insured employers, and government entities with tailored, tech-driven solutions that deliver quality healthcare at discounted rates.

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