Provider Network Director jobs in Tallahassee, FL
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
Healthcare Network Development / Provider Relations Representative
- Alivi
-
Tallahassee, FL
FULL_TIME
-
SUMMARY The Network Development Representative focuses on building Specialty Benefits Networks across multiple Markets/States considering cost negotiations and adequacy to support expected membership volume by Levels of Service. The position will support the Specialty Benefits Networks with growth objectives and analytical analysis to ensure company strategies for expansion are adequate to meet contract demands for each respective Market/State. The position coordinates with Provider Leads to complete contracting with identified Specialty Benefit providers. DUTIES & RESPONSIBILITIES - Target potential providers to establish contractual agreements.
- Thoroughly understand Alivi’s Corporate Playbook and always ensure alignment with the playbook in all day-to-day activities.
- Work directly with strategic leaders of the company to ensure strategic support for expansion efforts and ability to administer contract arrangements with Health Plans/Payers in Medicare, Medicaid and Commercial lines of business.
- Travel to provider offices as needed to secure Specialty Benefit provider contracts.
- Support Alivi’s business development, corporate growth strategy and goals as needed.
- Recruit, negotiate, contract and re-contract with Specialty Benefit providers at all ‘Levels of Service’ to ensure quality, cost effectiveness and their participation in all products.
- Support contracting efforts for new products/risk strategies and help develop new service areas and negotiating with new providers.
- Support in the development of strategic initiatives relating to provider networks, including service area expansions, new payment and incentive methods, risk arrangements and new products.
- Work with provider relations team to develop and maintain a comprehensive provider network (hospitals, physicians, ancillary) that meets CMS access standards and deliver a full range of healthcare services to our members.
- Analyze, plan, and assure provider network adequately meets all CMS access standards across all geographic areas.
- Communicate internally and externally regarding all provider related issues. Participate in key committees throughout the organization.
- Act as a liaison between Alivi and contracted health plans concerning all aspects of Specialty Benefit provider network participation.
- Supports Credentialing Department by assisting with the collection of physician credentials for newly contracted providers.
REQUIREMENTS - Associates Degree preferred.
- 1 to 2 years experience with Specialty Benefit providers and downstream provider contracting.
- Knowledge of provider reimbursement strategies for Managed Care, government products and commercial products.
- Must have a valid driver’s license.
- Must be able to pass DMV record check.
- 14 Days Ago
School Director
- Childcare Network, Inc.
-
Tallahassee, FL
OTHER
- Overview Explore your passion for childhood education with us! Founded in 1988, Child Development Schools is headquartered in Austin, TX operating over 260 childcare centers in 11 states. Our three ea...
- 2 Days Ago
Network Cabling Technician
- Network Cabling Services, Inc.
-
Midway, FL
FULL_TIME
- Job Summary:We are seeking a skilled Cable Technician to join our team. As a Cable Technician, you will be responsible for installing, maintaining, and repairing various types of cable systems. This i...
- 13 Days Ago
Network Cabling Technician
- Network Cabling Services, Inc.
-
Midway, FL
FULL_TIME
- Job Summary:We are seeking a skilled Cable Technician to join our team. As a Cable Technician, you will be responsible for installing, maintaining, and repairing various types of cable systems. This i...
- 13 Days Ago
Network Architect
- Tech Army
-
Tallahassee, FL
FULL_TIME
- Your resume should not exceed 3 pages!SUMMARY:The network architect will also make recommendations to improve segmentation strategies, harden systems, and ensure the confidentiality, integrity, and av...
- 6 Days Ago
Network Administrator
- The Florida Bar
-
Tallahassee, FL
FULL_TIME
- Network Administrator IT Operations | Administration Competitive salary with excellent benefits and pension planThe Florida Bar’s IT Operations department is seeking to hire a network administrator wh...
- 9 Days Ago
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0 Provider Network Director jobs found in Tallahassee, FL area
Director Of Hotel Sales
- GF Hotels and Resorts
-
Tallahassee, FL
- Do you enjoy meeting new people, driving sales, and witnessing the fruits of your labor? We're looking for a dedicated d...
- 4/24/2024 12:00:00 AM
Technical Security Specialist
- Trulieve
-
Tallahassee, FL
- "Trulieve Grows One Patient at a Time" If you have an interest in being part of one of the fastest growing industries in...
- 4/23/2024 12:00:00 AM
IT/Technical Architect
- Tallahassee Memorial Healthcare
-
Tallahassee, FL
- WHO WE ARE & WHAT WE DO: Tallahassee Memorial HealthCare (TMH) is a private, nonprofit community-based healthcare system...
- 4/23/2024 12:00:00 AM
Director of Sales
- Highgate Hotels L.p.
-
Tallahassee, FL
- Compensation Type YearlyHighgate HotelsHighgate is a premier real estate investment and hospitality management company w...
- 4/23/2024 12:00:00 AM
Senior Account Manager, Affiliate Marketing
- Acceleration Partners
-
Tallahassee, FL
- LOCATION:The Account Manager/Senior Account Manager, Affiliate Marketing is a remote, work from home position , as are a...
- 4/22/2024 12:00:00 AM
Administrative Director Emergency Services
- Generis Tek Inc
-
Tallahassee, FL
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nitika Rao at email ...
- 4/22/2024 12:00:00 AM
Director of Emergency Services
- N2s Healthcare Staffing Solutions Llc
-
Tallahassee, FL
- Title: Administrative Director Emergency Services Location: Tallahassee, FL Duration: Permanent Job Description: The rol...
- 4/22/2024 12:00:00 AM
Volunteer Services Director
- Volunteer Florida
-
Tallahassee, FL
- Volunteer Services Director Volunteer Florida is currently looking for a Volunteer Services Director to join our team! I...
- 4/21/2024 12:00:00 AM
About Tallahassee, Florida
Tallahassee (/ˌtæləˈhæsi/) is the capital city of the U.S. state of Florida. It is the county seat and only incorporated municipality in Leon County. Tallahassee became the capital of Florida, then the Florida Territory, in 1824. In 2017, the population was 191,049, making it the 7th-largest city in the U.S state of Florida, and the 126th-largest city in the United States. The population of the Tallahassee metropolitan area was 382,627 as of 2017[update]. Tallahassee is the largest city in the Florida Panhandle region, and the main center for trade and agriculture in the Florida Big Bend and S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$156,322 to $201,956
Tallahassee, Florida area prices
were up 1.5% from a year ago
were up 1.5% 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