Director, Provider Relations

Role Overview

• Oversee the Provider Relations department including negotiations and administering organization policies and procedures
• Oversee the Provider Relations department to ensure in compliance with company policies and standards, government laws, regulations and contracting standards
• Develop, implement and monitor policies and procedures
• Develop tactical plans to align strategies and technologies with future needs
• Effectively manage budget and all resources for short and long-term needs
• Prepare and analyze reports on departmental and organizational activities and recommend improvements
• Ensure timely Provider set up processing, auditing and distribution of Provider Relations data management
• Create effective organizational structure and develop staff skills and competencies
• Develop and oversee the training program for the Provider Relations Department

Requirements

• Bachelor’s degree in a Business Administration, Healthcare Administration, related field or equivalent experience
• 7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in Medicare or Medicaid
• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff
• Valid driver's license

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules