Priority Health · 17 hours ago
Director Provider Network Management
Grand Rapids, MI
Full-time
Onsite
Mid, Senior Level
5+ years expPriority Health is focused on establishing and maintaining productive relationships with providers across various regions. The Director of Provider Network Management will oversee collaborative efforts with providers to identify improvement opportunities and implement action plans, while also providing strategic advice to executives regarding network expansion and performance issues.
Health Care
Responsibilities
Develop and maintain purposeful, long term relationships with providers based on fair and competitive business terms, with an emphasis on improving quality and the patients' experience of care, while reducing the cost of care
Oversee and direct collaborative efforts with providers in designated communities to identify improvement opportunities, develop action plans and successfully implement them
Direct the activities of the team, which many include Managers, as well as Sr. Provider Account Representatives and the Provider Account Representatives, establishing annual performance objectives and monitoring the interface between team members and network providers to ensure annual goals are achieved
Provide advice/guidance/recommendations to corporate and regional executives and business partners related to various risk arrangements, costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion
Support market specific business needs for designated communities including attending slide presentations and providing market specific data and intelligence
Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis
Performs other duties as assigned
Qualification
Required
Bachelor's Degree or equivalent in health care administration, business administration, accounting, finance, clinical or health and human services
5 years of relevant experience within provider network management, health care insurance or other health care delivery setting
5 years of relevant experience directly interacting with clinical practices, including experience analyzing and integrating financial and quality performance
LIC-Driver's License - STATE_MI State of Michigan Upon Hire
Preferred
Master's Degree (MBA, MHA, MHP)
5 years of relevant experience in direct management of staff
5 years of relevant experience Strong contextual knowledge related to managed care, provider reimbursement models, national health care trends and practice management
Benefits
Comprehensive benefits package to meet your financial, health, and work/life balance goals.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Company
Priority Health
Priority Health is an award-winning health benefits company.
1001-5000 employees
H1B Sponsorship
Priority Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (9)
2023 (9)
2022 (10)
2021 (5)
2020 (8)
Funding
Current Stage
Late StageTotal Funding
$0.5MKey Investors
Michigan Health Endowment Fund
2022-02-24Grant· $0.5M
Leadership Team
Nick Gates
President
Recent News
2025-12-11
Morningstar.com
2025-11-18
Company data provided by crunchbase