California Licensed Provider Relations Director

A company is looking for a Director of Provider Relations for a Health Plan focused on Medicare Advantage, working remotely in California. Key Responsibilities Manage the Provider Relations functions and daily operations of the department, ensuring collaboration with various stakeholders Develop standards and resources for effective provider network development and long-term partnerships Build and implement provider communication, training, and education programs for internal staff and external stakeholders Required Qualifications Bachelor's Degree or equivalent experience in provider services or contract network development in managed healthcare 7+ years' experience in servicing physicians, hospitals, and providers with Medicaid and/or Medicare products 7+ years' experience in managed healthcare administration 2+ years in a direct or matrix leadership position Min. 2 years' experience managing or supervising employees

Mar 11, 2025 - 14:58

A company is looking for a Director of Provider Relations for a Health Plan focused on Medicare Advantage, working remotely in California. Key Responsibilities Manage the Provider Relations functions and daily operations of the department, ensuring collaboration with various stakeholders Develop standards and resources for effective provider network development and long-term partnerships Build and implement provider communication, training, and education programs for internal staff and external stakeholders Required Qualifications Bachelor's Degree or equivalent experience in provider services or contract network development in managed healthcare 7+ years' experience in servicing physicians, hospitals, and providers with Medicaid and/or Medicare products 7+ years' experience in managed healthcare administration 2+ years in a direct or matrix leadership position Min. 2 years' experience managing or supervising employees