Provider Network Director jobs in Michigan

Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Provider Network Specialist
  • Montcalm Care Network
  • Stanton, MI FULL_TIME
  • General Summary

    Montcalm Care Network has an opportunity for a Provider Network Specialist. Under the supervision of the Fiscal Manager, this position will be responsible for credentialing and privileging processes for external and contracted providers, which consists of performing background checks, verification of professional licensures, etc. Responsible for performing desk and onsite audits of contracted providers to ensure contract compliance.

    Assures external providers maintain licenses, continuing education, and training required for scope of practice and position. Responsible for administration of learning software, including adding, removing and assigning the correct courses based on employees’ position within the agency.

    Employment Qualifications

    Education: High School Diploma

    Experience: Three years of office experience, preferably within a Community Mental Health agency with advanced skill in using Microsoft Office products.

    Other Requirements: Possession of a valid State of Michigan driver's license.

    Salary Range: $19.41 - $26.69 hourly

    Schedule: Monday – Friday.

    Benefits:

    Montcalm Care Network is committed to the wellbeing of our staff, and we have exceptional benefits:

    · Medical/dental/vision coverage

    · Short-term and long-term disability

    · Generous vacation and sick leave

    · Employer provided life insurance

    · 457(b) retirement savings with an employer contribution

    · Opportunities for employer funded professional development to meet continuing education requirements

    · Free membership to our locally owned gym- Wellness Works!

    · Tuition reimbursement or loan forgiveness programs

    Student Loan Repayment: MCN is an approved National Health Service site (NHSC, a loan repayment program); in addition to Public Service Loan Forgiveness (PSLF), and MDHHS Behavioral Health Loan Repayment Program (BHLRP) for qualified positions. MCN offers additional tuition reimbursement as well as loan reimbursement options of up to $5,250 per year.

    Job Type: Full-time

    Pay: $19.41 - $26.69 per hour

    Expected hours: 40 per week

    Schedule:

    • Monday to Friday

    Work Location: In person

  • 2 Days Ago

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Medical Director
  • LTC Provider Care
  • Detroit, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients in Skilled Nursing and Long-Term Care facility settings. Our goal is to improve the overall quality of care, pa...
  • 2 Days Ago

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Medical Director
  • LTC Provider Care
  • Grand Rapids, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients in Skilled Nursing and Long-Term Care facility settings. Our goal is to improve the overall quality of care, pa...
  • 3 Days Ago

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Medical Director
  • LTC Provider Care
  • Howell, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients by providing Primary Care Physician (PCP) services to Skilled Nursing and Long-Term Care facilities across Mich...
  • 6 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Taylor, MI CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
  • 7 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Macomb, MI CONTRACTOR
  • In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
  • 10 Days Ago

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • New Haven, CT
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Atlantic City, NJ
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Washington, DC
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Dover, DE
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Charlottesville, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Fredericksburg, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Richmond, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Director of Networking
  • Insight Global
  • Director of Network Services and Engineering Must be in Nashville, TN - Hybrid schedule of 3 days onsite Requirements: 1...
  • 6/7/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$172,009 to $222,227

Provider Network Director in Columbus, OH
In either scenario, taking these three steps can help you determine whether a network change will genuinely lower your costs.
February 09, 2020
Provider Network Director in Portland, ME
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
December 12, 2019
Provider Network Director in Temple, TX
However, from a state regulator’s and the health plan’s perspective, the sheer number of providers in the network overall is only part of the story.
December 21, 2019