Network Development Specialist I

SKYGEN•United States,

3d•$20 - $30•Remote

About The Position

This is a permanently remote position for a Network Development Specialist I. The role involves utilizing effective techniques to identify prospects and recruit providers to ensure contractual requirements are met. The specialist will be responsible for running geographic access reports, performing market analysis, developing and maintaining an understanding of contract and network requirements, and navigating proprietary software. Daily tasks include making prospecting calls to providers to discuss network benefits and reimbursement, conducting negotiations with providers (including large groups and dental schools), developing and maintaining provider relationships, ensuring provider compliance, generating referrals from existing providers, identifying network access issues and developing strategies, explaining the web portal's functionality, and performing outreach to resolve member access to care issues.

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
Comfort with phone outreach is essential.

Nice To Haves

Knowledge of contract terminology
Understanding of reimbursement methods
Knowledge of dental, medical, physical therapy and vision products and terminology
Experience in sales or negotiation is a plus

Responsibilities

Utilize effective techniques to identify prospects and recruit providers to ensure contractual requirements are met.
Run and create geographic access reports.
Perform market analysis on new markets including identifying key providers needed to service members.
Develop and maintain complete understanding of contract and network requirements.
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.
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.