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Director Provider Network Development Jobs in Pittsburgh, PA

American Heart Association

Development Director

Pittsburgh, PA

$61K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provide effective orientation, training, and ongoing coaching for recruited volunteers to increase ... Collaborate with volunteers, donors, and internal staff to broaden the volunteer network and ...

New

DQE Communications LLC

Senior Network Software Engineer

Pittsburgh, PA · Remote

$106K - $145K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We take pride in providing reliable service to our customers, earning trust through integrity and ... Participate in full software development lifecycle including architecture, development, testing ...

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All JobsProvider Network Development JobsDirector Provider Network Development JobsDirector Provider Network Development Jobs in Pittsburgh, PA

Director Provider Network Development information

See Pittsburgh, PA salary details

$41.7K

$80.2K

$157.3K

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

As of Aug 15, 2026, the average yearly pay for director provider network development in Pittsburgh, PA is $80,188.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,400.00 and $94,700.00 per year, depending on experience, location, and employer.

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 popular job titles related to Director Provider Network Development jobs in Pittsburgh, PA?

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

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

The top searched job categories for Director Provider Network Development jobs in Pittsburgh, PA are:

What cities near Pittsburgh, PA are hiring for Director Provider Network Development jobs?

Cities near Pittsburgh, PA with the most Director Provider Network Development job openings:

Director Provider Network Development jobs near you

Provider Network Advocate

UPMC Health Plan

Pittsburgh, PA • Hybrid

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Purpose:
The UPMC Health Plan is looking for someone who enjoys investigating medical claims issues, supporting providers, and build strong partnerships to fill the role of Provider Network Advocate!

The Provider Network Advocate (PNA) will support the Provider Network Liaison (PNL) team and will investigate issues with other ISD departments. The PNA will assist with outreach to providers to investigate operational initiatives, identify root causes and take action to resolve the issue. Investigations and outreach will include provider payment issues, configuration issues, special outreach projects and HEDIS, HCC, CDPS, MA P4P, and CMS Stars improvement initiatives. The PNA will outreach to providers related to key departmental goals, via phone, email and personal visits as requested.

This role is Hybrid and will require a minimum of 3 days per week onsite in Downtown Pittsburgh, as well as occasional travel throughout the area.
Responsibilities:

  • Coordinate provider problem resolution as identified through internal reports and by the PNL team or ISD leadership.
  • Identify root causes, swiftly take the needed steps to resolve the issue and ensure closed feedback loop to the PNL and provider occurs.
  • Present health plan programs and tools to network providers and their office staff.
  • Follow up with provider as necessary to ensure understanding.
  • Document provider outreach and initiative progress in a customer relationship database in a timely manner.
  • Collaborate with other Network Leaders and staff to ensure process improvement within department.
  • Manage relationships with key providers within the Health Plan provider network as directed.
  • Effectively manage special projects as assigned to complete in a timely manner, occasionally, the employee will need to extend hours beyond 40-hour work week.
  • Bachelor's Degree in Business, Health Care, Marketing or a related field is required or equivalent experience.
  • 3 years business/sales or healthcare-related experience required.
  • Experience with Provider Services, Medical Claims, Customer Service, or Member Services preferred.
  • Experience with claims investigation and problem analysis preferred.
  • Excellent written and verbal, communication skills, as well as the ability to document organize, analyze and problem solve required.

  • Ability to attend or accompany Director or PNL to various internal and external department and provider meetings.


    UPMC is an Equal Opportunity Employer/Disability/Veteran

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