Network Development Specialist_ Temporary Position

Versant Health•Troy, NY

6d•$20 - $22

About The Position

Versant Health is a managed vision care administrator serving millions of members nationwide. The Network Development Specialist recruits vision providers and facilities for the Superior Vision and Davis Vision networks according to established goals and priorities. The role also follows up with providers going through credentialing, provides service and education during recruitment, maintains the network, and supports related projects and reporting. It calls for a highly motivated person with medical/surgical recruitment and facility contracting experience, strong negotiation, sales, interpersonal, and communication skills, and a willingness to work toward goals. The position requires a quiet space suitable for working from home. Associates must comply with HIPAA requirements and company privacy and security guidelines when handling protected health information, cardholder data, and other confidential customer information.

Requirements

High school diploma/GED or an equivalent combination of experience and education.
One year of related experience.
Proficiency in Microsoft Office.
Comply with HIPAA requirements and company privacy and security guidelines for handling confidential information.
Have a quiet space suitable for working from home.

Nice To Haves

Bachelor’s degree preferred.
Experience in medical network development.
Knowledge and experience in the insurance, health, or vision care industry.
Medical/surgical recruitment experience.
Facility contracting experience.
Excellent negotiation, sales, interpersonal, and communication skills.

Responsibilities

Recruit and contract new vision providers and facilities into Superior Vision and Davis Vision networks according to established goals and priorities.
Make outbound and take inbound calls with vision providers who request information, have been recruited, or have been nominated by members.
Negotiate fee schedules with new and existing vision providers in accordance with corporate goals and standards.
Obtain and process application materials and credentialing documents, and review them for completeness.
Educate providers about plan designs and processes.
Build and maintain relationships with the provider community.
Work with provider practices to resolve complaints and claims issues as needed.
Generate ad hoc reports as needed.
Monitor completed work against established goals under general supervision.
Use discretion, judgment, and independent problem-solving in daily work.
Work with the Director of Medical Network Development to identify appropriate recruitment strategies.
Assist with other projects and perform other duties as assigned.