Director, Provider Management

5 days ago

Apply Now

Receive Emails with Similar Jobs

Avēsis

WebsiteLinkedInAll Job Openings

commercial and government vision insurance • essential benefits • benefits administration • employee benefits • ancillary benefits

501 - 1000

Description

• Lead and oversee all aspects of provider network management within Florida. • Manage a team of provider relations and engagement professionals. • Drive network development and optimization efforts to meet regulatory requirements and organizational objectives. • Collaborate with internal teams such as compliance, legal, operations, and analytics. • Develop strategies to strengthen provider relationships and ensure network adequacy. • Act as the primary point of escalation for provider issues. • Drive continuous improvement in provider performance and satisfaction.

Requirements

• Bachelor’s degree in healthcare administration, business, or related field. • 8+ years of experience in provider network management, healthcare contracting, or provider relations, with at least 3 years in a leadership role. • Strong understanding of Medicaid, Medicare, and commercial insurance network requirements, particularly in Florida. • Proven ability to manage provider relationships, including contract negotiation, performance evaluation, and conflict resolution. • Excellent leadership, communication, and organizational skills. • Familiarity with compliance standards and regulations in the healthcare industry. • Ability to travel within Florida as needed.

Benefits

• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. • Life and disability insurance. • A great 401(k) with company match. • Tuition assistance, paid parental leave and backup family care. • Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. • Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. • Employee Resource Groups that advocate for inclusion and diversity in all that we do. • Social responsibility in all aspects of our work.