Provider Network Recruitment & Contracting Specialist

What are important things that YOU need to know about this role? 

• Remote Work: This is a permanently remote position.
• Work Hours: Full-time, Monday through Friday during daytime hours.
• Experience Requirements: Comfort with phone outreach is essential. Experience in sales or negotiation is a plus and can contribute to success in this role.

What will YOU be doing for us?   Utilize effective techniques to identify prospects and recruit providers to ensure contractual requirements are met.

What will YOU be working on every day? 

• 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 and providing education about our practices and reimbursement levels. 
• Conduct negotiations with providers to build and maintain a provider network.
• Conduct negotiations with key providers including large groups and dental schools with assistance 
• Develop and maintain provider relationships by interacting directly with the provider and serving as the main point of contact for the provider throughout the contracting process.
• 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 in order to effectively explain its functionality to providers.
• Perform outreach calls in assist in resolution of resolve specific access to care issues for members.

What qualifications do YOU need to have to be GOOD candidate?

• Required Level of Education, Licenses, and/or Certificates
  • Bachelor’s Degree in business or related field or equivalent years of experience 
• Required Level of Experience
  • 1 year of experience relating to provider relations, contracting, or sales/negotiation. 
• Required Knowledge, Skills, and Abilities 
  • 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

What qualifications do YOU need to have to be a GREAT candidate? 

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

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range: $20.32 - $30.48/hr

Compensation Midpoint: $25.40/hr