Director of Provider Relations Salary
Job Description for Director of Provider Relations
A director of provider relations works for a health insurance company and fosters relationships between the health insurance company and various health providers such as physicians, practices, and hospitals. This position also involves marketing, as the director will instruct medical providers on new products and encourage providers to be a part of the network. Part of the job may be coming up with a plan to expand the insurance network, as well as ensuring satisfaction in being part of that network.Read More...
The director of provider relations should do research to cover any gaps present in the network web and plan to add services and providers to the network. The director may oversee the claims department and make sure that quality telephone skills are being used. The director of provider relations may sometimes have to do research into denied claims. When there are problems in the claims department, the director of provider may be expected to resolve any issues that come up. This position involves time constraints, and much of the job is done independently. Therefore, it is important to be a motivated individual in order to succeed in this type of job.
Basic computer skills in areas such as Microsoft Office are usually needed. Strong communication skills are essential. Being an individual who loves to work with people is also important since much of the job involves building relationships. A bachelor’s degree is often needed for this position. Many positions require years of experience in provider relations or network management. Some of the duties of this job are carried out in an office, while some travel may be required in order to visit health providers.
Director of Provider Relations Tasks
- Develop and implement reimbursement strategies, ensuring compliance with regulatory agencies.
- Monitor provider network to make sure financial and quality objectives are met.
- Manage relations between health insurance companies and health care providers, contracting and maintaining providers.
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Pay by Experience Level for Director of Provider Relations
Median of all compensation (including tips, bonus, and overtime) by years of experience.
For many Directors of Provider Relations, extensive experience does not lead to significantly more money. Relatively untried employees who have less than five years' experience make $85K, but folks with five to 10 years under their belts enjoy an appreciably larger median of $96K. After working for 10 to 20 years, Directors of Provider Relations make a median salary of $99K. Deeply experienced professionals who boast more than 20 years of experience haul in an ample $104K on average.