Job description
Snelling is currently recruiting for a highly organized, professional, hardworking Network Development Specialist for a well-established mental health company in the Homewood area. Under the general direction of the VP, Provider Relations, this position is responsible for continued development of PPO network, PPO rate negotiations, and orientation of providers. The starting salary for this position is $50-55k.Specific Duties:
Under the direction of the VP, Provider Relations, and in cooperation with all divisions as deemed appropriate:
1. 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 EVP/CQO and Sr. Vice President, Finance.
1. Assist in conducting BHS provider orientations, to include individual and regional provider training sessions, as requested.
3. Serve as liaison with treatment providers, clients, patients, and others, as requested. Resolve problems on a timely basis.
4. 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.
5. 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.
6. 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.
7. 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 EVP/CQO. Make recommendations on product line enhancements. Prepare reports as requested.
8. Perform other related duties as directed or deemed appropriate. Attend meetings as requested. Advise EVP/CQO, on developments in the field.
Qualifications:
- 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.
- Dependable transportation.
Snelling Staffing Services, with over 68 years of staffing expertise, specializes in clerical, administrative, professional and industrial positions, permanent and temporary. There's never a fee or contract to our candidates! Snelling Staffing Services is an Equal Opportunity Employer. Snelling Staffing Services is a drug free work place.
www.arclintfl.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.arclintfl.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, www.arclintfl.com is the ideal place to find your next job.