Provider Network Director jobs in Indianapolis, IN
Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Provider Network Director jobs
Director of Provider Development & Contracting
- Provider Partners Health Plan
-
Indianapolis, IN
FULL_TIME
-
Provider Partners is searching for a results-oriented individual, with a proven track record, who is passionate about our mission and can generate positive outcomes based on that mission. The Director of Provider Development & Contracting plays a pivotal role in managing and developing relationships with healthcare providers within our network. This position is responsible for ensuring a high level of provider satisfaction and service while optimizing network performance and strategy.Key Responsibilities:
Provider Relationship Management:- Serve as the primary contact for healthcare providers.
- Maintain and enhance strong, long-term relationships with providers.
- Address and resolve provider inquiries and concerns in a timely and professional manner.
- Conduct provider orientations and provide ongoing education on PPHP policies, procedures, and new initiatives.
Network Development and Management:- Identify, recruit, and contract with new providers to expand our network.
- Negotiate contract terms, rates, and agreements with providers.
- Analyze network performance, identify gaps, and recommend improvements.
- Work collaboratively with internal teams to ensure network adequacy and to develop network strategies.
Performance Monitoring and Reporting:- Monitor provider performance metrics and ensure compliance with contractual and regulatory requirements.
- Prepare and present network performance reports to senior management.
- Evaluate provider satisfaction and recommend strategies for improvement.
Compliance and Regulatory Adherence:- Ensure provider compliance with state, federal, and PPHP regulations and standards.
- Stay abreast of changing regulatory requirements and ensure timely communication to providers and internal stakeholders.
Project Management:- Lead and participate in cross-functional projects aimed at improving network performance and provider satisfaction.
Qualifications:- Bachelor’s degree in healthcare administration, business, or related field required; Master’s degree preferred.
- Minimum of 5-10 years of experience in healthcare network management or provider relations in the state of Indiana.
- Strong knowledge of healthcare industry, contract negotiations, and regulatory compliance.
- Excellent communication and interpersonal skills with the ability to build strong relationships with providers and internal teams.
- Strong analytical and problem-solving skills.
- Ability to manage multiple priorities in a fast-paced environment.
- Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).
- 21 Days Ago
Executive Director
- Provider Partners Health Plan
-
Indianapolis, IN
FULL_TIME
- Provider Partners Health Plan of Indiana, Inc, (PPHP-IN) is a health plan that is a 100% owned subsidiary of Hoosier Senior Care Alliance, LLC (HSCA) and Provider Partners Health Plan (PPHP). HSCA and...
- 21 Days Ago
HR Director
- SOUL PROVIDER INC
-
Westfield, IN
FULL_TIME
- POSITION PURPOSE The Director of Human Resources will lead our company’s people efforts. You will be responsible for overseeing the operation of the human resources department. As a member of the lead...
- 1 Month Ago
Provider Network Manager
- Elevance Health
-
Indianapolis, IN
FULL_TIME
- Job Family: PND > Network Contracting Type: Full time Date Posted: Apr 22, 2024 Anticipated End Date: May 24, 2024 Reference: JR113663 Description Location: Indianapolis, IN Hours: M – F Standard Work...
- 1 Day Ago
Network and Provider Relations Manager
- CommuniCare Corporate
-
Indianapolis, IN
FULL_TIME
- Network and Provider Relations Manager CommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantag...
- 9 Days Ago
Network and Provider Relations Manager
- CommuniCare Family of Companies
-
Indianapolis, IN
FULL_TIME
- Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
- 10 Days Ago
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0 Provider Network Director jobs found in Indianapolis, IN area
Information Technology Site Lead
- Insight Global
-
Madison, IN
- Under the direction of the Executive Director of IT Operations, the IT Director will provide leadership over the technic...
- 4/25/2024 12:00:00 AM
Information Technology Analyst
- Emmis Corporation
-
Indianapolis, IN
- Emmis Corporation, headquartered on Monument Circle in Downtown Indianapolis, has an opening for an Information Technolo...
- 4/24/2024 12:00:00 AM
IT Audit Director
- Old National Bank
-
Indianapolis, IN
- IT Audit DirectorJob LocationsUS-IN-Evansville | US-TN-Nashville | US-MN-St Louis Park | US-IN-Indianapolis | US-IL-Chic...
- 4/23/2024 12:00:00 AM
Sr Director, IT Infrastructure & Operations- Remote US
- Situsamc
-
Indianapolis, IN
- SitusAMC Sr Director, IT Infrastructure & Operations- Remote US Indianapolis , Indiana Apply Now SitusAMC is where the b...
- 4/23/2024 12:00:00 AM
Director of Infrastructure and Operations
- Byrider Franchising Llc.
-
Carmel, IN
- Job Summary:The Director, Infrastructure and Operations role is part of the Byrider IT leadership organizationreporting ...
- 4/23/2024 12:00:00 AM
Senior Data Center Engineer - Sarnova - Remote
- Sarnova HC, LLC
-
Indianapolis, IN
- Company Overview: Sarnova is the leading national specialty distributor of health care products in Emergency Medical Ser...
- 4/22/2024 12:00:00 AM
Information Technology Analyst
- Emmis Corporation
-
Indianapolis, IN
- Emmis Corporation, headquartered on Monument Circle in Downtown Indianapolis, has an opening for an Information Technolo...
- 4/22/2024 12:00:00 AM
Sr. IT Linux Engineer
- Cno Financial Group
-
Carmel, IN
- Salary Range: $102,600 - $154,000 AnnualJob DetailsThe stated pay range is based on a national average location. Actual ...
- 4/22/2024 12:00:00 AM
About Indianapolis, Indiana
Indianapolis is in the East North Central region of the Midwestern United States, in central Indiana. According to the U.S. Census Bureau, the Indianapolis (balance) encompasses a total area of 368.2 square miles (954 km2), of which 361.5 square miles (936 km2) is land and 6.7 square miles (17 km2) is water. The consolidated city boundaries are coterminous with Marion County, with the exception of the autonomous municipalities of Beech Grove, Lawrence, Southport, and Speedway. Indianapolis is the 16th largest city by land area in the U.S.
Indianapolis is within the Tipton Till Plain, a flat to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$168,814 to $218,095
Indianapolis, Indiana area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Provider Network Director do?
Provider Network Director in Moline, IL
You can keep costs low when using your plan by staying “in network,” or using the doctors and other health care providers that are in your plan’s network.
December 27, 2019
Provider Network Director in Sacramento, CA
A healthcare provider network is a compilation of all doctors, physicians, hospitals, clinics, pharmacies, etc.
February 22, 2020
Provider Network Director in Springfield, OR
If the plan name includes any of the following things, your plan does NOT use the standard network.
February 12, 2020