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Provider Network Director jobs in South Carolina

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

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Goose Creek, SC CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks. By connecting with us now, you can be among the first to receive outreach regarding new project opportunities. `

    Our network consultants are typically responsible for leveraging client provided data to contact providers, build relationships, negotiate contracts, and manage various elements of the contracting process. Our projects typically lasts 6-12 months (or longer).

    All roles are 100% telecommute and are temporary by nature.

    EWINGS is the leader in helping clients build large-scale healthcare provider networks. Many of our projects have required teams of 100-200 network consultants. Since 2002 we've developed provider networks for our clients in over 700 cities and all 50 states.

    While many of our clients are members of the FORTUNE 500, we also work with numerous start-ups that are experiencing rapid growth. One client has achieved membership growth of 400% year-over-year for the last two years.

    It is an exciting time to be a EWINGS consultant! A network assignment with EWINGS provides you an opportunity to quickly gain valuable experience developing networks in multiple states for a variety of products with organizations of various sizes.

    New projects are starting all the time, so now is your chance to introduce yourself to our organization and join our roster of exceptional talent.

    Typical Job Titles

    • Associate Healthcare Provider Network Contractor
    • Healthcare Provider Network Contractor
    • Senior Healthcare Provider Network Contractor
    • Network Provider Advocate
    • Network Contract Manager
    • Network Program Manager
    • Provider Relations Specialist
    • Credentialing Representative
    • Provider Install
    • Project Manager/Director
    • Data Programmer/Analyst

    Typical Job Responsibilities

    • Use data supplied by the client to call providers, establish a relationship, and initiate a contracting discussion.
    • Send contracts to providers, negotiate rates, and manage other terms of the agreement.
    • Evaluate and negotiate contracts in compliance with client contract templates, reimbursement structure standards, and other key process controls.
    • Update provider data and document contracting activities.
    • Provide feedback from prospective and newly contracted providers to the client.
    • Perform problem analysis, identify solutions, and engage client stakeholders when necessary.
    • Track the progression of contracts as they flow through the process and follow-up with colleagues when necessary to keep things moving forward.

    Please submit your resume and information. Candidates that input the information requested in the registration process will increase their chances of being contacted when a position matches their exact skills and experience.

    Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH
  • 7 Days Ago
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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Simpsonville, SC CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5+ years of experience developing healthcare provider net...
  • 8 Days Ago
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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Lexington, SC CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
  • 8 Days Ago
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E
Healthcare Provider Network Contractor
  • EWINGS INC.
  • Summerville, SC CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
  • 8 Days Ago
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Provider Enrollment Specialist
  • FETTER HEALTH CARE NETWORK INC
  • Charleston, SC FULL_TIME
  • DescriptionUnder the supervision of the Director of Finance, the Provider Enrollment Specialist will be responsible for completing all applications for payer plans for the purposes of billing and reim...
  • 19 Days Ago
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PRN Nurse Practitioner/ Flex Provider
  • Matrix Medical Network
  • Townville, SC FULL_TIME
  • Company DescriptionMATRIX MEDICAL NETWORK is dedicated to helping in the care of Medicare Advantage plan members. Our success comes as the result of our extraordinary people, years of experience, adva...
  • 1 Day Ago
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Provider Network Director jobs at Popular Companies

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • New Haven, CT
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Atlantic City, NJ
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Washington, DC
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Dover, DE
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Charlottesville, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Fredericksburg, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Richmond, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM
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Director of Networking
  • Insight Global
  • Director of Network Services and Engineering Must be in Nashville, TN - Hybrid schedule of 3 days onsite Requirements: 1...
  • 6/7/2024 12:00:00 AM
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About South Carolina

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$164,515 to $212,546

Most Popular Cities in South Carolina for Provider Network Director Jobs

What does a Provider Network Director do?

Provider Network Director in Columbus, OH
In either scenario, taking these three steps can help you determine whether a network change will genuinely lower your costs.
February 09, 2020
Provider Network Director in Portland, ME
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
December 12, 2019
Provider Network Director in Temple, TX
However, from a state regulator’s and the health plan’s perspective, the sheer number of providers in the network overall is only part of the story.
December 21, 2019