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Role Description

This role involves recruiting providers and ensuring contractual requirements are met.

• Utilize effective techniques to identify prospects and recruit providers
• Run and create geographic access reports with assistance
• Perform market analysis on new markets including identifying key providers needed to service members with assistance
• Develop and maintain complete understanding of contract and network requirements
• Ability to navigate proprietary software applications
• Perform prospecting calls to new and existing providers to discuss the benefits of joining our networks
• Conduct negotiations with providers to build and maintain a provider network
• Develop and maintain provider relationships by interacting directly with the provider
• Ensure provider compliance with contracting process
• Utilize relationships with existing providers to generate referrals to additional providers in the network
• Identify network access and deficiencies and develop recruitment and contracting strategies
• Maintain understanding of the web portal to effectively explain its functionality to providers
• Perform outreach calls to assist in resolution of specific access to care issues for members

Qualifications

• Bachelor’s Degree in business or related field or equivalent years of experience
• 1 year of experience relating to provider relations, contracting, or sales/negotiation
• Knowledge of Microsoft programs (Word, Excel, and Outlook)
• Detail oriented
• Excellent oral and written communication skills
• Ability to successfully meet timelines for project plans
• Ability to build relationships effectively over the phone

Requirements

• Knowledge of contract terminology
• Understanding of reimbursement methods
• Knowledge of dental, medical, physical therapy and vision products and terminology

Compensation

• Compensation Range: $20.32 - $30.48/hr
• Compensation Midpoint: $25.40/hr