LTS · 4 hours ago

Provider Network Operations Director

Herndon, VA

Full-time

Remote

Director/Executive

10+ years exp

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Responsibilities

Lead the development and execution of a comprehensive provider network to meet the company's occupational health goals, including negotiating new contracts, contract renewals, and amendments to ensure strong provider network access and solutions nationwide.

Focus on network adequacy to ensure the quality and consistency of occupational health examinations and services provided by the network.

Ensure that all service delivery meets contractual requirements, customer expectations, and internal performance targets.

Oversee vendor performance governance, developing and maintaining reporting and policies to ensure adherence to service level agreements (SLAs) and alignment with business priorities.

Build and maintain strong relationships with providers, addressing concerns, resolving issues, and ensuring long-term partnerships.

Participate in the bid and proposal processes for government and commercial opportunities, providing expertise on provider network capabilities, service delivery, and competitive offerings.

Ensure all contracts meet legal, regulatory, and organizational requirements.

Track and report on provider network performance, including cost, utilization, quality outcomes, and member satisfaction.

Address performance concerns with providers and develop corrective action plans as necessary.

Collaborate with internal teams to ensure provider network operations align with business objectives.

Qualification

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Provider Network ManagementContract NegotiationVendor ManagementRegulatory ComplianceHealthcare Delivery SystemsMicrosoft Office SuiteHR SystemsEthics/IntegrityProject Management

Required

Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field.

Minimum 10 years of experience in provider network management, contracting, and negotiations, with a focus on occupational health or related healthcare sectors.

Proven experience in negotiating and managing healthcare provider contracts.

Strong knowledge of vendor management, performance governance, and regulatory compliance.

Excellent leadership, project management, and organizational skills.

Strong negotiation, analytical, and problem-solving abilities.

Knowledge of healthcare delivery systems, managed care principles, and provider networks.

Ability to build and maintain strong provider relationships.

Excellent communication skills with the ability to interact effectively at all levels of the organization and with external stakeholders.

Proficiency in Microsoft (Office Suite, Excel, PowerPoint, Adobe, Teams) and HR systems.

Entrepreneurial spirit and a solid growth mindset.

High standards of Ethics/Integrity.