Network Development Specialist I

SKYGEN

107d • $20 - $30

About The Position

This is a permanently remote position that requires full-time work from Monday through Friday during daytime hours. The role involves utilizing effective techniques to identify prospects and recruit providers to ensure contractual requirements are met. Daily tasks include running geographic access reports, performing market analysis, developing an understanding of contract and network requirements, and conducting outreach calls to providers.

Requirements

• 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.

Nice To Haves

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

Responsibilities

• Utilize effective techniques to identify prospects and recruit providers to ensure contractual requirements are met.
• 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.
• 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 to assist in resolution of specific access to care issues for members.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Bachelor's degree