How to Become a Provider Network Director

Step 1: Understand the job description and responsibilities of a Provider Network Director

What does a Provider Network Director do?

A 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.

People's Opinions on Provider Network Director responsibilities

Provider networks are groups of health delivery systems that have contracted with an HMO or PPO to provide insured treatment.

02/23/2020: Fort Lauderdale, FL

Networks can include physicians, specialists, surgeons, medical labs, hospitals, home health services, hospices, nursing homes, psychologists, and more.

11/27/2019: Indianapolis, IN

Insurance companies create provider networks to ensure their members access quality care at a discount.

12/19/2019: Melbourne, FL

Often, a provider network director is hired to direct the development of these networks for health insurance carriers.

12/25/2019: Portland, ME

Provider network directors play a pivotal role in building relationships with various medical organizations.

02/04/2020: Gainesville, FL
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Step 2: Learn best tips to become a Provider Network Director

Best tips for those who want to become a Provider Network Director

Here are some tips to become a Provider Network Director.

People's Opinions on best tips

Check to make sure you are in Medica Service Area.

01/12/2020: Troy, NY

Review this important information.

12/12/2019: Gulfport, MS

Go to the appropriate online application page and fill out the form.

01/11/2020: Longview, TX

Network Development & Expansion Building the Best Value Provider Network.

12/09/2019: High Point, NC

To create a normal appearance, to the extent possible.

12/25/2019: Jamestown, NY
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Step 3: View best colleges and universities for Provider Network Director

Best colleges and universities for Provider Network Director

  • Butler University
  • Carroll College
  • Cooper Union
  • High Point University
  • Princeton University
  • Providence College

Step 4: Think about whether is it worth to be a Provider Network Director

Is being a Provider Network Director Worth it?

People's Opinions on lifestyles

The Director, Network Development is responsible for taking the lead on specific provider network and Accountable Care Organization (ACO) functional/strategic….

01/04/2020: Lowell, MA

Oversee the completion of internal and external processes for provider contracting (primary dental providers and specialty providers) to ensure network adequacy….

01/24/2020: Nashua, NH

8+ years of experience in a network management-related role handling complex network providers with accountability for business results.

02/07/2020: Reading, PA

With a nationwide network covering every national health plan in the country, hundreds of hospitals and health systems and tens of thousands of providers….

12/21/2019: Norfolk, VA

Provider networks are groups of health delivery systems that have contracted with an HMO or PPO to provide insured treatment.

02/17/2020: Dothan, AL
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Step 5: Prepare relevant skills for being a Provider Network Director

What skills do you need to be a Provider Network Director?

This role is not a beginner's role, as such, there are many skills required.  It is vital to the role to command: Provider Management, Operational Policy Development.  Management isn't easy, if it were, everyone would have the competenticies to execute the role with success.

People's Opinions on Provider Network Director skills

Being a provider network director will require excellent interpersonal skills to effectively communicate all contractual processes.

02/09/2020: Cleveland, OH

Writing skills are importance since provider network directors draft the contracts given to healthcare organizations.

12/09/2019: Albany, NY

Having a knowledge of medical terminology is a must since directors review the network's insurance claims process.

02/06/2020: Monroe, LA

Provider network directors must be detail-oriented with the organizational skills to prepare and record meticulous reports.

12/18/2019: Lawrence, MA

Analytical skills are essential for provider network directors to correctly interpret complex contract regulations and policies.

01/06/2020: Saginaw, MI
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Step 6: View average salary for Provider Network Director

How much does a Provider Network Director make?

The average salary range for a Provider Network Director is from $138,111 to $169,787. The salary will change depending on your location, job level, experience, education, and skills.

Salary range for a Provider Network Director
$138,111 to $169,787

Step 7: Find relevant Provider Network Director jobs, and apply.

Looking for Provider Network Director jobs?

Here are some Provider Network Director jobs in the United States.

Search Provider Network Director Jobs in the United States

Step 8: Explore Career Path of Provider Network Director