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Provider Network Director

Company: Ascension Health Alliance
Location: Saint Louis
Posted on: November 19, 2021

Job Description:

We Are Hiring

Ascension is seeking a Provider Network Director to join the Network Service department. This department has a strong team approach. You will be heard, supported, and encouraged each day by the team around you! --

What You Will Do

As the Provider Network Director, you'll direct physician network operations management to include contract negotiation strategies, contract implementation and the monitoring of the managed care and other third party contracts for the physician network.

  • Plan and implement strategies for the negotiation and maintenance of competitive provider contracts, including Preferred Provider Organization (PPO), EPO, Health Maintenance Organization (HMO), and Workers Compensation.
  • Develops, implments and negotiates downstream value based contracts with physicians, hospitals and ancillary providers, across all lines of business and within various network constructs.--
  • Ensure compliance with the terms of the contracts and provide reports regarding the performance of the managed care companies/contracts.
  • Market the network to new physicians, insurance companies, third party payers, and other payers/purchasers.
  • Recommend new and revised operating policies for the physician network and ensure that they are uniformly communicated and implemented.--
    What You Will Need

    Education:
    • High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required.
    • Master's degree preferred.Work Experience:
      • 5 years of experience required.
      • 10 years of experience preferred.
      • 2 years of leadership or management experience required.
      • 5 years of leadership or management experience preferred.
        Additional Preferences

        No additional preferences.
        • Healthcare experience preferred.
        • Reside near Ascension grid: Midwest or South preferred.
          Why Join Our Team

          When you join Ascension, you join a team of over 150,000 individuals across the country committed to a Mission of serving others and providing compassionate, personalized care to all. Our inclusive culture, continuing education programs, career coaches and benefit offerings are just a few of the resources and tools that team members can use to create a rewarding career path. In fact, Ascension spent nearly $46 million in tuition assistance alone to support associate growth and development. If you are looking for a career where you can grow and make a difference in your community, we invite you to join our team today.
          Equal Employment Opportunity Employer

          Ascension is an equal opportunity employer (EEO) and affords equal opportunity to all associates and applicants without regard to race, color, religion, national origin, citizenship, gender identity, sexual orientation, age, physical or mental disability, veteran status, genetic data, or other legally protected status.

          For further information regarding your EEO rights, click on the following link to the "EEO is the Law" poster:

          http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

          EEO is the Law Poster Supplement

          Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

          E-Verify

Keywords: Ascension Health Alliance, St. Louis , Provider Network Director, Executive , Saint Louis, Missouri

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