Clayton, AL · On-site +1
$141K - $261K/yr
Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures. * Oversee ...
New
Clayton, AL · On-site +1
$141K - $261K/yr
Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures. * Oversee ...
New
Communicate identified network deficiencies and coverage gaps to the Provider Relations department; collaborate with network development specialists to ensure adequate and appropriate network ...
Quick apply
Communicate identified network deficiencies and coverage gaps to the Provider Relations department; collaborate with network development specialists to ensure adequate and appropriate network ...
Communicate identified network deficiencies and coverage gaps to the Provider Relations department; collaborate with network development specialists to ensure adequate and appropriate network ...
Communicate identified network deficiencies and coverage gaps to the Provider Relations department; collaborate with network development specialists to ensure adequate and appropriate network ...
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Quick apply
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Birmingham, AL · On-site
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Birmingham, AL · On-site
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Birmingham, AL · On-site
$80K - $101K/yr
This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...
Quick apply
Birmingham, AL · On-site
$80K - $101K/yr
This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...
$80K - $101K/yr
This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...
$80K - $101K/yr
This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...
Birmingham, AL · On-site
$80K - $101K/yr
This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...
Birmingham, AL · On-site
$80K - $101K/yr
This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Quick apply
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Quick apply
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Quick apply
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Birmingham, AL · On-site
$120 - $190/hr
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Birmingham, AL · On-site
$120 - $190/hr
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
A Provider Network Development job involves building and maintaining relationships with healthcare providers to ensure a strong, cost-effective network for health plans or organizations. Responsibilities typically include negotiating contracts, analyzing network performance, and ensuring compliance with industry standards. The goal is to enhance access to quality care for members while managing costs effectively. This role requires strong relationship management, analytical skills, and knowledge of healthcare regulations and reimbursement structures.
A key challenge in Provider Network Development is balancing the need for a broad, high-quality provider network with the organization's cost and access objectives. Professionals in this role often navigate complex negotiations, changing regulatory environments, and evolving healthcare market dynamics. Additionally, ensuring provider satisfaction while meeting internal performance metrics requires strong relationship management and problem-solving abilities. Overcoming these challenges helps organizations remain competitive while delivering comprehensive care options to members.
To thrive in Provider Network Development, you need expertise in healthcare contracting, network management, and provider relations, often supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and regulatory compliance tools is highly valuable. Superior negotiation, relationship-building, and analytical skills are crucial soft skills for this role. These competencies enable the effective expansion and maintenance of robust provider networks, ensuring quality, cost-effective care for members.
The most popular types of Provider Network Development jobs in Alabama are:
For Provider Network Development jobs in Alabama, the most frequently searched job titles are:
The top searched job categories for Provider Network Development jobs in Alabama are:
$141K - $261K/yr
Full-time
Medical, Retirement, PTO
Posted 2 days ago
New
8.4
Based on 404 frontline employees who took The Breakroom Quiz
14th of 887 rated healthcare providers
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.
Education/Experience: Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license.
Applicants must be in the state of Missouri to be considered for this role. This is a remote position that will require regular travel for internal and provider-facing meetings. The home office is in the St. Louis, MO area.
Pay Range: $141,500.00 - $261,400.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Sourced by ZipRecruiter
Health care and social assistance
10,000+ Employees
Saint Louis, MO, US
1984
