Director, Provider Network Development

About the role

We are seeking a Director of Provider Network Development to join our team at Diverge Health. You will be responsible for expanding our primary care network throughout Illinois, working closely with our health plan partners to target and contract with primary care practices that support the Medicaid population.

Responsibilities

• Support the ongoing refinement of our in-market growth aligned with our health plan partner goals and areas of desired focus.
• Identify, target, and cultivate relationships with independent primary care practices to expand our provider network.
• Initiate, negotiate, and finalize contracts with primary care practices, ensuring mutually beneficial terms and adherence to regulatory requirements.
• Partner with our operations and population health teams to ensure a smooth onboarding process for new providers, aligning messaging and ensuring that expectations match the experience.
• Oversee the data exchange process between our organization and partner practices to support informed decision-making and seamless patient care coordination.
• Assist in the transition of relationships to our market field teams, providing essential guidance and support to maintain and grow partnerships.
• Manage and conduct effective and efficient contract negotiations, and develop strategies, tactics, and methods for specific network development initiatives.
• Own the successful implementation and execution of short- and long-term growth strategy plans within the market, including plans based on practice size, geography, and alignment with our patient support model that adhere to deadlines.
• Provide an excellent customer experience to both new provider leads and existing network providers.
• Develop strategic partnerships with FQHCs and other large primary care provider employers.

Requirements

Experienced in both creating and executing growth strategies, you will be comfortable driving provider growth, bringing a well-established network of physician relationships, deep knowledge of the local healthcare community, and the desire to win!

You will possess a network of well-established relationships within the primary care and broader physician community locally. Demonstrated success in consistently achieving growth and expansion targets in the healthcare industry, with a preference for a focus on the medical practice environment. At least 5+ years of relevant experience in healthcare network development or related growth-focused roles. Ability to regularly commute to physician offices, with a personal vehicle, up-to-date car insurance, and a valid driver’s license. Comfortable in outside sales and networking to build and nurture professional relationships. Familiarity with healthcare economics, specifically clearly communicating economics in the context of negotiating and closing contracts. Experience utilizing Salesforce strongly preferred, with a minimum of comfort using a CRM tool to track activity. Comfort with data, particularly transparency in pipeline activity reporting; clear success in a metric-oriented environment. Personal Characteristics Equally empathetic and objective, humble and highly conscientious; a teammate that inspires and motivates others. Comfort with uncertainty; self-motivated and directed; can manage effectively in high-growth, rapidly evolving environments. A problem solver, able to think critically and strategically while being hands on in driving work; proactively identifies and resolves risks to execution and delivery. Strong representation of the company’s mission, vision, and values across all dimensions of internal and external interactions. Strength in authentically connecting with people from all walks of life with empathy and humility. Possesses exceptional organizational skills and excels in clear, effective communication with key stakeholders.

Qualifications

At Diverge Health, we are committed to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, reproductive health decisions, family responsibilities or any other characteristic protected by the federal, state or local laws. Our decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance and business needs. At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones. Candidates must be authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.