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Director Provider Network Development Jobs in Miami, FL

NBCUniversal

Network Engineer

Miramar, FL · Hybrid

Experience with AWS and Azure network configurations (Direct Connect, Express Route). * Hands-on ... Good understanding of both Enterprise and Service Provider networking: * OSPF, IS-IS, vPC, port ...

NBCUniversal

Network Engineer

Miramar, FL · Hybrid

Experience with AWS and Azure network configurations (Direct Connect, Express Route). * Hands-on ... Good understanding of both Enterprise and Service Provider networking: * OSPF, IS-IS, vPC, port ...

NBCUniversal

Network Engineer

Miramar, FL · Hybrid

Experience with AWS and Azure network configurations (Direct Connect, Express Route). * Hands-on ... Good understanding of both Enterprise and Service Provider networking: * OSPF, IS-IS, vPC, port ...

Private Company

Be Seen First

Director of Development

South Florida, FL · On-site

$75K - $85K/yr

For more than fifteen years, the foundation has provided direct financial support to skilled-trades ... Position Overview Reporting to the President & CEO, the Director of Development is a key member of ...

Childnet Inc

Chief Clinical Officer

Fort Lauderdale, FL · On-site

$142K/yr

Provides general management, administrative oversight and improvement of ChildNet's behavioral ... Responsible for oversight, development and integration of clinical and well-being network strategy ...

TransPerfect

Director Business Development

Miami, FL · On-site

$75K/yr

Since 1992, we have been providing a comprehensive suite of solutions that facilitates every aspect ... Source and close new clients through referrals, cold calling, networking, and other means ...

TransPerfect

Director Business Development

Miami, FL · On-site

$7.5K/mo

Since 1992, we have been providing a comprehensive suite of solutions that facilitates every aspect ... Source and close new clients through referrals, cold calling, networking, and other means ...

tsa

Director of Development

Miami, FL · On-site

... Director of Development for the Miami Area Command , located in Miami, Florida. Job Summary Plans ... provides the required knowledge, skills, and abilities. Licenses and Certificates Valid Driver ...

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All JobsProvider Network Development JobsDirector Provider Network Development JobsDirector Provider Network Development Jobs in Miami, FL

Director Provider Network Development information

See Miami, FL salary details

$41.1K

$79K

$154.9K

How much do director provider network development jobs pay per year?

As of Aug 23, 2026, the average yearly pay for director provider network development in Miami, FL is $79,000.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,600.00 and $93,300.00 per year, depending on experience, location, and employer.

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 Miami, FL?

The most popular types of Provider Network Development jobs in Miami, FL are:

What are popular job titles related to Director Provider Network Development jobs in Miami, FL?

For Director Provider Network Development jobs in Miami, FL, the most frequently searched job titles are:

What job categories do people searching Director Provider Network Development jobs in Miami, FL look for?

The top searched job categories for Director Provider Network Development jobs in Miami, FL are:

What cities near Miami, FL are hiring for Director Provider Network Development jobs?

Cities near Miami, FL 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 Miami, FL as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $79,000 per year, or $38 per hour.

Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC

Miami, FL

$60K - $70K/yr

Full-time

Medical

Re-posted 2 days ago

Job description

Description

Position Summary


The Configuration and Data Integrity Manager is responsible for implementing and interpreting the organization's overall claims, provider configuration, eligibility and provider database management, security, and operations. The Configuration Manager will work with internal departments and external organizations to assure secure data exchanges, integrity, reliability, and availability; plans, organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data.


Duties and Responsibilities


Responsible for benefit configuration covered services, copay, deductibles, coinsurance and max out of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of Benefit Packages

Responsible for provider records configuration and contract rate load create vendors, practice locations, medical group, networks, reimbursement rate. Collaborate with Provider Relations Department and Credentialing to ensure Responsible for work distribution and resource management of configuration specialist and data integrity specialist.

Configuration support to provider contracts-question if specific agreement received can be entered as noted.

Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases.

Responsible for accurately interpreting specific contracts as well as additional business requirements and converting these terms to configuration parameters.

Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules, network assignment, team member's responsibilities.

Collaborate with provider call center, clinical and claims department when asked to verify specific provider configuration or benefit configuration information.

Provide system configuration support to organization based on changing business needs.

Review and recommend changes to existing configuration processes.

Analyze and resolve Claims Workflow regarding Benefit & Contract configuration issues in a in with 3 business days.

Provide technical guidance to Data Integrity Specialist in their assigned job duties.

Oversee Configure Medicare/Medicaid/Commercial interest rates in TPA system.

Resolve Eligibility Issues with Health Plans.

Validate reports ran by Data Integrity Specialist on a weekly, monthly, and quarterly basis.

Load and Maintain Fee Schedule in TPA System

Act as liaison between Corporate and the health plan regarding programming development needs related to reporting.

Requirements

Knowledge


3-5 years of Claims Processing experience required.

1-2 years' experience in healthcare data management.

Broad knowledge of medical terminology, customer service, claims processing and/or customary and reasonable cost containment, and coordination of benefits and diagnosis coding.


Skills


Advanced knowledge of Microsoft applications: Outlook, access database, excel, word and basic computer navigation.

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