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Senior Director, Provider Network

Senior Director, Provider Network

Porter Cares, Inc.Chicago, IL, US
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Porter is hiring a Senior Director for the Provider Network!

The Senior Director of Provider Network will lead the strategy, design, and operational execution of a national network of Nurse Practitioners (NPs) and Licensed Practical Nurses (LPNs) delivering in-home and virtual health assessment visits. This leader will be accountable for ensuring the provider network consistently and proactively meets member demand, adheres to brand standards, maintains clinical and operational compliance, and partners with Clinical leadership to delivers high-quality, reliable performance and brand.

In addition to managing day-to-day provider operations, this role will own and oversee the Credentialing and Clinical Coding functions. They will also lead a team of Practice Coordinators and Managers , who are directly responsible for managing and supporting assigned providers, ensuring provider engagement, availability, and operational performance.

Key Responsibilities

Provider Network Leadership

  • Define, design, and manage a scalable, high-performing NP and LPN provider network for in-home and virtual health assessments.
  • Develop network strategies to ensure capacity aligns with member demand while maintaining availability, timeliness, and regional coverage.
  • Drive strong provider engagement, satisfaction, and retention through effective onboarding, communications, and provider support.
  • Ensure provider utilization remains high by aligning scheduling, deployment, and demand forecasting to maximize productivity and minimize idle capacity.

Practice Coordinator Team Management

  • Lead and manage a team of Practice Coordinators responsible for supporting and monitoring assigned providers.
  • Ensure coordinators build strong, proactive relationships with providers to drive availability, compliance, and completion rates.
  • Standardize coordinator workflows for provider support, performance monitoring, and escalation of issues.
  • Provide coaching, tools, and resources to help coordinators succeed in managing provider panels effectively.
  • Operational Execution & Compliance

  • Partner with Clinical Quality team to ensure providers deliver consistently to brand standards : professionalism, member experience, and clinical quality.
  • Maintain strict compliance with internal policies, regulatory requirements, payer commitments, and state licensure requirements.
  • Monitor KPIs (availability, completion rates, quality metrics, member satisfaction) and drive continuous improvement.
  • Establish reliable reporting and dashboards to give leadership visibility into provider network health.
  • Credentialing & Clinical Coding Oversight

  • Own the end-to-end credentialing process, ensuring provider files are accurate, complete, and compliant.
  • Ensure credentialing timelines support rapid onboarding and scaling needs while maintaining compliance.
  • Oversee the clinical coding function, ensuring assessments are coded accurately and in alignment with risk adjustment and quality program requirements.
  • Collaborate with compliance, clinical, and revenue cycle teams to drive accuracy and integrity across coding operations.
  • Leadership & Culture

  • Lead, develop, and mentor network operations managers, practice coordinators, credentialing specialists, and coding professionals.
  • Create a culture of accountability, execution, and continuous improvement.
  • Represent provider network strategy and performance at the executive level and with external partners / clients.
  • Qualifications

    10+ years of progressive leadership experience in provider network management, clinical operations, or related healthcare delivery functions.

    Proven success leading distributed clinical networks (NPs, LPNs, or similar) with both in-home and virtual care delivery.

    Operational knowledge of credentialing, coding, and compliance standards preferred.

    Experience leading provider support functions (practice coordinators, dynamic resource management, or provider operations teams).

    Strong data-driven operator with a track record of using KPIs and analytics to drive accountability and performance.

    Exceptional leadership, communication, and relationship-building skills across internal teams and external partners.

    Bachelor’s degree required; Master’s degree in healthcare administration, business, or related field preferred.

    Porter Benefits

    Equipment Support

    Insurance Benefits - Medical Dental Vision within 30 days from start

    Paid Time Off : Vacation and Sick Time

    Paid Holidays

    Opportunity for Growth

    #J-18808-Ljbffr

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    Provider Network • Chicago, IL, US

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