Provider Contracting Director jobs in Wilmington, DE

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

F
Senior Provider Contracting Manager
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. 


    FourStone Partners, a fast growing company in West Chester, PA, is seeking individuals to assist with workers’ compensation provider network recruitment efforts. Potential candidates should be high energy and self-motivated, customer service oriented, and have excellent negotiation and communication skills. Experience with provider recruitment for health plans, Medicare, or workers' compensation programs.  Candidates with managed care or healthcare experience is required. Proven track record in negotiating agreements with health systems strongly preferred. Position is remote but must be able to work Central hours.


    Summary of Main Responsibilities:

    • Participate in the development and coordination of an extensive provider network involving in/out of state providers and facilities
    • Effectively promote and educate client’s targeted providers, explaining all aspects of the program
    • Correspond with providers to explain the recruitment process and obtain necessary information from them to complete the process
    • Assist with identifying provider network needs and opportunities
    • Collect, maintain, and distribute provider information, changes, and correspondence in client database
    • Take responsibility for leading a team of provider network professionals as applicable


    FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join our team!

  • 29 Days Ago

F
Provider Network Development and Contracting Representative
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. FourStone Partn...
  • 3 Days Ago

B
Contracting and Payer Relations Executive Director
  • Bayhealth
  • Dover, DE FULL_TIME
  • Reporting to the CFO, the Executive Director of Contracting & Payer Relations is responsible for all aspects of managed care, governmental, value-based and population health/clinical integration for B...
  • 20 Days Ago

1
US Senior Medical Director, BioPharmaceuticals
  • 10001001 - Director Physician
  • Wilmington, DE FULL_TIME
  • Join our industry-leading BioPharmaceuticals team, where our rich and diverse pipeline speaks for itself. As a US Senior Medical Director, you will play a pivotal role in channeling our scientific cap...
  • 3 Days Ago

1
Sr Medical Director, US Emerging Portfolio and Metabolism
  • 10001001 - Director Physician
  • Wilmington, DE FULL_TIME
  • Introduction to role:Join our industry-leading BioPharmaceuticals team, where our rich and diverse pipeline speaks for itself. As a Sr. Medical Director, you will be a member of the Core Medical Team ...
  • 4 Days Ago

5
US Medical Director - Healthcare Innovation and Clinical Transformation - CVRM
  • 50056669 - Assoc Director Physician
  • Wilmington, DE FULL_TIME
  • US Medical Director - Healthcare Innovation and Clinical Transformation - CVRMIntroduction to role:As the US Medical Director - Healthcare Innovation and Clinical Transformation - Cardiovascular, Rena...
  • 4 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Provider Contracting Director jobs found in Wilmington, DE area

T
Advanced Practice Provider
  • Trinity Health Mid-atlantic
  • Darby, PA
  • Trinity Health Mid-Atlantic, one of the largest health systems in the Delaware Valley, has an excellent full-time opport...
  • 4/25/2024 12:00:00 AM

T
Medicare Provider Relations Representative
  • The Cigna Group
  • Wilmington, DE
  • SUMMARY: This position is an external provider facing role with account management responsibilities for a medium to low ...
  • 4/25/2024 12:00:00 AM

T
Advanced Practice Provider
  • Trinity Health Mid-Atlantic
  • Darby, PA
  • Trinity Health Mid-Atlantic, one of the largest health systems in the Delaware Valley, has an excellent full-time opport...
  • 4/23/2024 12:00:00 AM

P
Advanced Practice Provider
  • PHIX HEALTHCARE
  • Philadelphia, PA
  • Job Description Job Description About Phix Health Phix Health is a provider led clinical services company using propriet...
  • 4/23/2024 12:00:00 AM

M
Stretch Provider
  • Massage Envy
  • Exton, PA
  • Where Better Careers Begin! Massage Envy Exton Are you ready to use your bodywork skills in a whole new way? Combine you...
  • 4/23/2024 12:00:00 AM

G
Advanced Practice Provider
  • Genesis Healthcare
  • Huntingdon Valley, PA
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/22/2024 12:00:00 AM

G
Advanced Practice Provider
  • Genesis Health
  • Huntingdon Valley, PA
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/22/2024 12:00:00 AM

O
Nurse Practitioner - Advanced Practice Provider
  • Oak Street Health Inc.
  • Wilmington, DE
  • Title: Nurse Practitioner - Advanced Practice Provider Location: Wilmington, DE Schedule: Full-Time, Monday through Frid...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 17.0 square miles (44 km2). Of that, 10.9 square miles (28 km2) is land and 6.2 square miles (16 km2) is water. The total area is 36.25% water. The city sits at the confluence of the Christina River and the Delaware River, about 33 miles (53 km) southwest of Philadelphia. Wilmington Train Station, one of the southernmost stops on Philadelphia's SEPTA rail transportation system, is also served by Northeast Corridor Amtrak passenger trains. Wilmington is served by I-95 and I-495 within city limits. In addition, the twin-s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$179,934 to $259,873
Wilmington, Delaware area prices
were up 1.0% from a year ago

Provider Contracting Director in Modesto, CA
Learn more about our provider networks and the members our networks support.
December 17, 2019
Provider Contracting Director in Lafayette, LA
Informal Provider - Cares for children who are related to them and possibly children from one other family.
January 14, 2020
Provider Contracting Director in Battle Creek, MI
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
January 11, 2020