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Network Sourcing and Development Specialist

ProcurementProcurementFull TimeRemoteTeam 1,001-5,000Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

23 days ago

Salary

Not specified

Bachelor Degree3 yrs expEnglish

Job Description

• Develop, expand and maintain PPO network, to include new provider identification, solicitation and rate negotiation. • Adhere to established provider fee schedules. • Coordinate rate negotiations with Vice President, Provider Relations and Vice President, Finance. • Assist in conducting BHS provider orientations, to include individual and regional provider training sessions, as requested. • Serve as liaison with treatment providers, clients, patients, and others, as requested. • Resolve problems on a timely basis. • Provider Relations Division serves in direct support role to the Clinical Division. • Assist Clinical Division as directed in client/case-specific provider hook-ups and problem-solving. • Assist Clinical Division and Accounting/Marketing Divisions as requested in support services related to specific or potential client contracts. • Assist in preparation of proposals as requested. • Maintain corporate, departmental and quality assurance policies and procedures. • Recommend new policies/procedures as deemed appropriate. • Recommend revisions to PPO contract forms and rates as appropriate. • Participate in on-going marketing and provider relations efforts, as directed. • Participate in special projects, on-going research and public relations efforts as appropriate. • Coordinate information on competition, provider rates by region or city, national statistics and relevant changes in the field with Vice President, Provider Relations. • Make recommendations on product line enhancements. • Prepare reports as requested. • Perform other related duties as directed or deemed appropriate. • Attend meetings as requested. • Advise Vice President, Provider Relations on developments in the field.

Job Requirements

  • Bachelors in related field.
  • Three years provider relations experience required, preferably with PPO/HMO or similar setting.
  • Experience in managed care/PPO environment.
  • Some experience/involvement in mental health field and public relations preferred.
  • Familiarity with case management/util. review functions.
  • Familiarity with computerized applications (PCs, Word, Access and the internet).
  • Experience in services to business, industry preferable.
  • Experience with fiscal issues, rate negotiations, contractual terms.
  • Excellent communication skills (written and oral) and organization skills.
  • Experience in group presentations/speaking preferable.
  • Excellent problem-solving abilities.
  • Willing to perform extensive telephone work.
  • Professional appearance.
  • Cooperative attitude and self-starter.
  • Assertive.
  • Goal-oriented.

Benefits

  • Health insurance
  • Professional development opportunities

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