Director PPO Network Solutions

Overview

CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market. We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services. We focus our efforts on our three key stakeholders, in this order:
1) Clients;
2) Colleagues;
3) Company.

The Director of PPO Network Solutions will lead the enhancement of our network solutions product through strategic vendor and provider engagement, team management, and data-driven decision-making. This senior role involves overseeing operational processes, guiding analytical efforts, and fostering innovation to drive product performance. The ideal candidate will be a visionary leader with a proven track record in healthcare network management, committed to mentoring teams, achieving organizational objectives, and promoting continuous improvement.

This position offers significant influence on the company s growth trajectory, with opportunities for executive advancement and building key industry partnerships.

• Develop and execute strategies for building and maintaining strong relationships with network vendors and providers to align with the objectives of the network solutions product.
• Lead cross-functional collaboration between vendors, internal teams, and stakeholders to ensure seamless integration and goal alignment.
• Oversee data management and analysis processes, ensuring team accuracy in provider contracts, pricing, and performance metrics.
• Direct the preparation and review of network performance data to identify trends, cost-saving opportunities, and areas for improvement, providing strategic recommendations.
• Supervise the review and negotiation of contracts and pricing agreements to ensure compliance, accuracy, and resolution of issues with network partners.
• Guide research initiatives to identify potential providers and gather market intelligence, leveraging insights to expand network capabilities.
• Monitor industry trends, state fee schedules, and best practices to inform high-level decision-making and policy development.
• Manage data governance and workflow optimization, promoting efficiency and accuracy across the team.
• Collaborate with executive leadership and cross-functional teams to spearhead network initiatives and elevate client experience.
• Review and approve regular reports on network performance metrics, presenting findings to senior stakeholders and driving improvement strategies.
• Formulate and implement strategies to optimize network performance, achieve organizational goals, and scale operations.
• Identify and pursue new opportunities for expanding the network solutions product, including strategic partnerships, mergers, or innovative service offerings.
• Mentor and manage Network Solutions Representatives, including recruitment, performance evaluations, and professional development.
• Collaborate with executive management to align departmental strategies with the organization s growth objectives, remaining adaptable to evolving business needs.

• Analytical
  
  Skills:
  
  Advanced ability to interpret complex data, identify strategic trends, and generate high-impact insights.
• Communication
  
  Skills:
  
  Superior verbal and written communication skills for engaging with executive stakeholders, vendors, providers, and teams.
• Organizational
  
  Skills:
  
  Exceptional leadership in managing multiple priorities, teams, and projects efficiently.
• Attention to Detail:
  Strategic oversight to ensure precision in high-stakes contract management, reporting, and compliance.
• Problem-Solving
  
  Skills:
  
  Innovative and proactive approach to resolving complex challenges at an organizational level.
• Technical Proficiency:
  Expertise in Microsoft Excel and data analytics tools; proficiency with data management systems and CRM software is essential.
• Interpersonal
  
  Skills:
  
  Advanced relationship-building and negotiation skills to foster strategic partnerships and team collaboration.
• Strategic Thinking:
  Capacity to align departmental goals with company vision and adapt to market changes.

• Bachelor’s…