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What is a Provider Network Development job?

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 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 key skills and qualifications needed to thrive in the Provider Network Development position, 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 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
Advanced Practice Provider - Orthopedic Spine Surgery

Advanced Practice Provider - Orthopedic Spine Surgery

The Christ Hospital

Cincinnati, OH • On-site

Other

Posted 20 days ago

Christ Hospital Health Network rating

7.0

Company rating: 7.0 out of 10

Based on 94 frontline employees who took The Breakroom Quiz

404th of 877 rated healthcare providers

Job description

ADVANCED PRACTICE PROVIDER - SPINE SURGERY

Our Orthopedic Spine Surgery practice is seeking a highly motivated and dedicated Physician Assistant (PA) or Nurse Practitioner (NP) to join our team. This role will be 2:1 APP coverage with a single physician and involves a blend of clinic, surgical, and administrative responsibilities, with opportunities for professional growth and autonomy over time. The selected candidate will be the second dedicated APP for this physician. 

The APP team works closely with a single spine surgeon and a dedicated clinical support staff, allowing for continuity of care and strong working relationships. The practice emphasizes mentorship, teamwork, education, and long-term professional development. APPs will progressively develop expertise across the continuum of spine care, including diagnosis and management, imaging interpretation, surgical decision-making, operative planning, first assist responsibilities, inpatient management, post-operative care, and complication management.

The position will include a highly competitive compensation with a full benefits package.

Primary Responsibilities:

1. Clinic Duties

  • Clinics locations Blue Ash, Liberty, Mt. Auburn; Clinics typically start is 8:00 AM
  • Attend biweekly pre-op conferences to review upcoming surgical cases

2. Operating Room Assistance

  • Assist in surgeries
  • As Appropriate, complete post-operative orders and conduct neurological checks when patients awaken.

3. On-Call Responsibilities

  • Participate in office-based call pool

4. Rounding Duties

  • Conduct hospital rounds on post-operative patients as needed

5. Administrative Work

  • Assist in the management of patient queries, prescription refills.
  • Conduct peer-to-peer calls for insurance approvals when necessary

Desired Qualities and Skills:

  • Strong motivation to learn and grow
  • Determination of next steps in clinical and surgical settings, ensuring efficiency and comprehensive care.
  • Resourcefulness in resolving EMR, communication, and patient care challenges
  • Dedication to continuous learning, including self-study of spine-related conditions and imaging

THE CHRIST HOSPITAL HEALTH NETWORK

The Christ Hospital Health Network is a regional system of care that extends The Christ Hospital's 130+ years of exceptional care and leadership with multiple ambulatory centers and over 180 neighborhoods.

offices conveniently located throughout the Greater Cincinnati area. We deliver integrated, individualized healthcare and wellness services through our comprehensive physician and advanced practice provider network, innovative specialty services and the region's Most Preferred Hospital (National Research Corporation). Our mission is to improve the health of our community and create patient value by providing exceptional outcomes and the finest experience in an affordable way.

Education: Graduate from accredited Certified Nurse Practitioner or Physician Assistant program.

License/Certification:

  • DEA license
  • BLS and ACLS certified

Physician Assistant: Graduate from accredited physician assistant program with a Master's Degree Physician Assistant Certification (verified by the National Commission or the Certification of Physician Assistant - NCCPA. Current, valid license (registration) by the state Medical Board of Ohio or applicable state medical board. Current Certificate to prescribe by the State Medical Board of Ohio.

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