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Provider Network Development Jobs in Ohio (NOW HIRING)

E2 Optics

Network Engineer - NAO

New Albany, OH · On-site

... to remain abreast of developments in network and security best practices to offer the best ... Monitor and test network performance and provide network performance statistics and reports

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Provider Network Development information

What is a provider network development?

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.

What are the key skills and qualifications needed to thrive in provider network development, and why are they important?

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.

What are some common challenges faced in provider network development roles?

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.

What are the most commonly searched types of Provider Network Development jobs in Ohio?

The most popular types of Provider Network Development jobs in Ohio are:

What are popular job titles related to Provider Network Development jobs in Ohio?

For Provider Network Development jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Provider Network Development jobs in Ohio look for?

The top searched job categories for Provider Network Development jobs in Ohio are:

Provider Network Development jobs near you
Infographic showing various Provider Network Development job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, and 4% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

Director of Business Development & Member Engagement

FRONTPATH HEALTH COALITION

Perrysburg, OH • On-site

Full-time

Dental, Vision

Re-posted 27 days ago

Job description

Position Title: Director of Business Development & Member Engagement 
Reports to:      Chief Executive Officer
This primary focus of this position is to retain and grow FrontPath Health Coalition membership of sponsors of self/level-funded health plans through building ongoing and trusted working relationships with members; delivering excellent member services and products, and supporting a consistently positive Coalition experience for member groups and their health plan enrollees.  The Director of Business Development leads the acquisition of new business through building and maintaining relationships with key constituents including brokers, consultants and third party administrators, as well as prospective members; responding to requests for proposals; and participating in new product development and existing product enhancement. The Director is responsible for coordinating FrontPath resources and overseeing the implementation of new products with members and/or member’s vendors to ensure members receive services that meet their needs. The Director establishes member communications tools and processes to enhance members’ understanding of the value of FrontPath membership, services and products.   
Major Areas of Responsibility

Strategic Planning & Implementation
  • Together with the President & CEO develop strategies and partnerships with relevant healthcare organizations for the benefit of the coalition
  • Implementation and tracking of strategic initiatives
  • Work closely with members to identify resources that add value to their health plan and find solutions the coalition can align with to meet member needs
  • Give focused attention to strategies that help reduce health care spend for members and the community at large
·         Serving as visible point of contact with FrontPath members and their brokers/consultants, and/or third party administrators, and coordinating, as needed, communication with appropriate FrontPath staff;
·         Developing outreach strategies to encourage greater member participation in key FrontPath products and service offerings.
·         Collaborative Activities & Partnerships
  • New business opportunities research & development (including due diligence activities)
  • Request For Proposals – oversight, review & response development
  • Products & Services – Pharmacy Benefit manager (PBM) relationships; On Site/Near Site Clinic; Wellness Programs; Dental & Vision; All products related to employee benefit plan design; Small Group Product relationships (Fully Insured, Partially Insured, Captives, MEWA, etc.); Review & development of network design opportunities; Telehealth, Data & Care Management Services relationships
  • Partnerships – Brokers/Consultants; TPAs; Joint marketing opportunities; Network collaborations; Pharma vendors (Programs, Educational Materials & Opportunities, Services)
 
 
 
Financial Oversight
 
  • Annual Budget Preparation for Business Development, Member Engagement, and Marketing
  • Revenue Development; new members and/or products and services to new/existing members
 

Marketing and Sales, Membership Engagement, Growth & Retention 
 
  • Conduct orientation and onboard services for all new members;  facilitate with FrontPath staff new member implementations and member issue management and oversight
  • Member Communications support, development & review
  • Host and develop meaningful quarterly meetings with members
  • Advertising campaigns
  • Member Engagement educational forums 
  • Sponsorship(s) review & management
  • Website development – support and assist as requested
  • Prospect Development; Marketing Materials preparation & review; Prospect & Renewal Member Meetings -  materials preparation & review 
  • Sales of all FrontPath products and services to also include all a la carte offerings through partnerships 
  • Remain conversant in client history and track all member interactions and maintain member profile information in Salesforce, create and disseminate member interaction documentation standards for Salesforce.
  • Maintain master contacts and email distribution lists, and develop content and story ideas for member communications, newsletter and surveys
 
Legal & Professional Services
 
  • Collaboration with President & CEO for contract preparations, review & negotiations 
    • Coalition Members
    • Vendors
  • Joint network products development, marketing and oversight
  • Wrap Network Programs & Services opportunities review & program(s) marketing
  
Regulatory Compliance
  • Member education and support on regulatory topics such as Consolidated Appropriations Act  (CAA) provisions for self-funded health plan sponsors
  • Compliance activities related to the provider network aspects of CAA including Transparency in Coverage machine readable files production and maintenance; No Surprises Act support, Mental Health Parity review and documentation, annual fee disclosures, 
Other Duties as required

 

 

 

Experience Required: 

• Minimum Bachelor’s degree from an accredited college or university; 
• 3 + years related work experience, primarily including client services functions, such as strategic account creation and execution;
 • Demonstrated knowledge relative to local market forces and purchaser leadership in health care reform 
• Demonstrated ability and proven track record to create and foster strategic relationships with key stakeholders at member organizations; 
• Demonstrated ability to respond to and use healthcare data to inform strategic decision-making;
 • Excellent oral, written, and interpersonal communication skills; 
• Proven ability to work within a team and to foster teamwork; 
• Strong planning, problem-solving, time management, organizational and prioritization skills. 
• Knowledge of PC-based Word, Excel, Access, Power Point, Outlook, and SalesForce.
This is a full-time position reporting to the Chief Executive Officer.