Provider Contracting Director jobs in Indianapolis, IN

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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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).

  • 18 Days Ago

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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...
  • 18 Days Ago

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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

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Credentialing and Contracting Specialist
  • LittleStar ABA Therapy
  • Carmel, IN FULL_TIME
  • We deliver exceptional service by hiring extraordinary talent!We are looking for a Credentialing & Contracting Specialist to support the needs of our Insurance Department.SummaryLittleStar ABA is dedi...
  • 16 Days Ago

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Contracting and Payor Relations Manager
  • Bierman Autism Centers
  • Indianapolis, IN FULL_TIME
  • Description Are you ready to make a meaningful impact in a rapidly growing ABA company? Bierman Autism Centers is seeking a Contracting and Payor Relations Manager to join our dedicated team. This piv...
  • 26 Days Ago

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Medical Aesthetics Physician Assistant or Nurse Practitioner
  • Optima Dermatology - Physician and Provider Openings
  • Plainfield, IN FULL_TIME
  • Multi-site Dermatology Group Seeks Medical Aesthetics Provider The Dermatology Center of Indiana is recruiting a Medical Aesthetics Provider (Nurse Practitioner or Physician Assistant) to split time b...
  • 1 Day Ago

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0 Provider Contracting Director jobs found in Indianapolis, IN area

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Program Director - Advanced Provider Compensation
  • Iu Health
  • Indianapolis, IN
  • OverviewThe Program Director Advanced Provider Compensation designs and manages Advanced Practice Provider compensation ...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider (Nurse Practitioner)
  • Jwm Neurology Llc
  • Indianapolis, IN
  • JOB TITLE: Advance Practice ProviderClassification: ExemptREPORTS TO: Physician/APP Practice Med Director/COODIRECT REPO...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider NP PA - Pediatric Cardiac Surgery
  • Ascension Health
  • Indianapolis, IN
  • Details * Specialty: Pediatric Cardiovascular Surgery * Schedule: Monday through Friday 8 a.m. - 5:00 p.m. * Call Schedu...
  • 4/22/2024 12:00:00 AM

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Part-Time Morning HHA (Training Provided, Start Immediately)
  • Altra Homecare Group
  • Greenwood, IN
  • Job Title: Home Health Aid Location: Greater Franklin, Whiteland and Greenwood. About Us: As you know if you've already ...
  • 4/21/2024 12:00:00 AM

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Part-Time Afternoon HHA (Training Provided, Start Immediately)
  • Altra Homecare Group
  • Greenwood, IN
  • Job Title: Home Health Aid Location: Greater Franklin, Whiteland and Greenwood. About Us: As you know if you've already ...
  • 4/21/2024 12:00:00 AM

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Travel LPN (Licensed Practical Nurse) Indianapolis, IN - ($35 an Hour With Housing Provided!)
  • Jedy Network
  • Indianapolis, IN
  • Jedy Network - Travel LPN (Licensed Practical Nurse) Indianapolis, IN - ($35 an Hour With Housing Provided!) Jedy is act...
  • 4/20/2024 12:00:00 AM

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Service Provider Support Director
  • Indiana Youth Services Association
  • Indianapolis, IN
  • Service Provider Support Director Indiana Youth Services Association Full Time/Exempt Reports To: ITVAP Program Director...
  • 4/19/2024 12:00:00 AM

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Insurance Inspector - Personal and Commercial Lines
  • Information Providers Inc.
  • Plainfield, IN
  • Job Description Job Description Come work with us! Our company is Information Providers, Inc and we are a field service ...
  • 4/18/2024 12:00:00 AM

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 Contracting Director jobs
$167,858 to $242,431
Indianapolis, Indiana area prices
were up 1.3% from a year ago

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Provider Contracting Director in Battle Creek, MI
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
January 11, 2020