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Director Provider Network Development Jobs (NOW HIRING)

Amazon

Network Development Engineer

Seattle, WA

Network Development Engineers partner with our broader Infrastructure organization on ... About the team Internet Edge provides high-performing Internet connectivity for a wide range of use ...

AltaMed Health Services Corporation

$68K - $85K/yr

The Provider Network Administrator is responsible for negotiating, administering, and maintaining ... Career Advancement & Development opportunities* Paid Time Off & Holidays* Paid CME Days*

Nexus HR

Provider Relations Specialist

El Monte, CA · On-site

$30 - $40/hr

The Provider Relations Specialist supports the Network Development department by developing and managing provider relationships and contracting, gaps in care (HEDIS) efforts with providers, group ...

Lucyrx

Director, Provider Relations

Bethesda, MD · Remote

$118K - $139K/yr

This role drives network performance, credentialing integrity, and provider engagement while advancing network strategy, cost efficiency, and service excellence. The Director partners cross ...

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Director Provider Network Development information

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

As of Sep 13, 2026, the average yearly pay for director provider network development in the United States is $82,598.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,000.00 and $97,500.00 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.

More about Director Provider Network Development jobs

What cities are hiring for Director Provider Network Development jobs?

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Director Provider Network Development jobs near you
Infographic showing various Director Provider Network Development job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 1% As Needed, 81% Full Time, 15% Part Time, and 2% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution, with an average salary of $82,598 per year, or $39.7 per hour.

IPA, Network Provider Specialist [DALLAS]

Remote

Nutex Health
Health Care and Social Assistance • 1 - 5K employees
Learn more about Nutex Healthexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 hours ago

Job description

IPA, Network Provider Specialist [DALLAS]

TheIPAProvider Network Specialistmanages the physician network by developing and maintaining the assigned IPA/Medical Group. This individual provides service and education to network physicians/providers and achieves company targets by implementing network improvement plans. The representative offers professional work and is responsible for performing activities pertaining to IPA Provider Network Specialist. This job includes traveling to provider offices and working under general supervision. Positions at this level are assigned a broad range of duties in the occupation. The representative uses judgment in selecting appropriate guidelines and applying general policies and procedures.

JOB TYPE: Full-time; On the Road

RESPONSIBILITIES

  • Completes new provider orientation for all applicable product lines.
  • Conducts provider group meetings to review monthly/quarterly data and outcomes.
  • Responsible for meeting minutes and follow-up on 'TO DO' items identified at meetings.
  • Conduct site visits to service providers, resolve issues, educate staff and providers on policies, and collect credentialing information.
  • Conduct site visits to service providers and educate staff and providers on submitting Risk Adjustment Factor Data and HEDIS information.
  • Maintains relationships with contracted HMOs to implement amendments to DOFR, delegation, policy, and procedures.
  • Returns all routine calls from providers within 24 hours to establish consistent and robust relationships with provider offices.
  • Provide oversight on inquiries and claims issues and follow up with providers to ensure problems have been resolved.
  • Maintains provider office tools, including provider manual.
  • Supports regional Network Improvement Plan targets by providing utilization reports, ER contingencies, Frequent Flier Reports, and other analytics available to improve /maintain regions.
  • Identifies network gaps and completes contracts for PCP, Specialist, and Ancillary networks with in-depth knowledge of different fee schedules (Medicare/Medical/ASP/AWP).
  • Identifies new cost-saving possibilities through working with various committees, such as UM and Claims.
  • Understands and explains risk contracts (shared risk/entire risk).
  • Strategizes for membership growth and retention.
  • Provide training, mentoring, and guidance to new representatives.
  • Works on special projects as assigned or directed.

QUALIFICATIONS

  • Knowledge of MS Office: Word, Excel, PowerPoint, Access Database.
  • Knowledge of MS Provider relations/customer service strategies.
  • Knowledge of MSO-VL and MMSE programs and services: Authorizations, Claims, Credentialing encounters, RAF, Star Ratings, IS/IR, etc.
  • Knowledge of Network development strategies and Provider Relations experience or similar background.
  • Knowledge of current MSO-VL and MMSE geo-access requirements.
  • Effective and efficient oral and written communication skills.
  • Knowledge of County provider demographics.
  • Skills in negotiating contract language and rate structures.
  • Skills to provide training and technical assistance to contracted providers.
  • Skills to evaluate and assess provider network to determine gaps and services needed.
  • Skills to identify and develop new providers to ensure accessibility.
  • Skills to monitor contract performance through site visits and data analysis.
  • Skills to facilitate contracted provider meetings.
  • Ability to represent the department or division professionally.
  • Ability to establish and maintain effective working relationships with contracted and potential providers.
  • Ability to resolve provider inquiries or requests promptly.

REQUIREMENTS

  • Bachelor's Degree in Marketing or Business Administration
  • Minimum of 2 years experience in Network Management within a managed care environment, health plan, or significant medical group administration.

BENEFITS:

  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

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