Network Development Specialist_ Temporary Position

Versant Health•Troy, NY

About The Position

Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision. As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us. See how you can make a difference with the support of strong leadership and a team environment. See Everything, Be Anything™. The Network Recruiting Specialist will be responsible for recruitment of vision providers to Versant Health’s networks according to established goals and priorities. This individual will also be responsible for following up with providers undergoing the credentialing process, providing service and education to network physician/providers during the recruitment process, maintenance of the network as required, amongst other duties. This role will require a highly motivated individual with medical surgical recruitment experience, as well as facility contracting experience with excellent negotiations, sales, interpersonal and communication skills and the willingness to work hard to meet goals.

Requirements

Preferred bachelor’s degree. High School diploma/GED or equivalent combination of experience and education
One (1) year of related experience
Experience in Medical Network Development
Proficiency in MicroSoft Office
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

Nice To Haves

Knowledge and experience in the insurance, health, or vision care industry preferred

Responsibilities

Recruits and contracts new vision providers and facilities into Superior Vision and Davis Vision networks according to established goals and priorities
Takes inbound and makes outbound phone calls to vision providers who have requested information, who have been recruited or who have been nominated by members
Negotiate fee schedules with new and existing vision providers in accordance with corporate goals and standards as required and review for completeness of application materials
Obtain and process application materials and credentialing documents as required and review for completeness
Assist in other projects as necessary
Educate providers on plan designs, processes
Build and maintain relationships with provider community
Work with provider practices to resolve complaints, claims issues as needed
Generate other ad hoc reports as needed
General supervision on completed work and monitoring against established goals
Requires daily use of considerable discretion, judgment and independent problem solving
Work with Director of Medical Network Development identify appropriate recruitment strategies
Have a quiet space conductive to working from home
Other duties as assigned