Network Recruitment and Development Specialist

Workplace Options • -, FL

9d

About The Position

Workplace Options is supporting its sister organisation, Behavioral Health Systems (BHS), in recruiting a Network Recruitment and Development Specialist. BHS operates a large specialty preferred provider organization (PPO), with a network that includes psychiatrists, psychologists, social workers, EAP providers, hospitals, rehabilitation and residential treatment centers, partial hospitalization programs, and intensive outpatient programs. BHS credentials and panels its own providers.

Reporting to the Vice President, Provider Relations, the specialist is responsible for continued PPO network development, rate negotiations, and provider orientation. The position is full-time, 40 hours per week, and located in the US.

Requirements

• Bachelor's degree in a related field.
• Three years of provider relations experience.
• Experience in a managed care or PPO environment.
• Familiarity with case management and utilization review functions.
• Familiarity with computerized applications, including PCs, Word, Access, and the internet.
• Experience with fiscal issues, rate negotiations, and contractual terms.
• Excellent written and oral communication skills and organizational skills.
• Excellent problem-solving abilities.
• Willingness to perform extensive telephone work.
• Professional appearance.
• Cooperative attitude, self-starter, assertiveness, and goal orientation.

Nice To Haves

• Provider relations experience with a PPO, HMO, or similar setting is preferred.
• Some experience or involvement in the mental health field and public relations is preferred.
• Experience providing services to business and industry is preferable.
• Experience in group presentations or public speaking is preferable.

Responsibilities

• Develop, expand, and maintain the PPO network, including identifying and soliciting new providers and negotiating rates.
• Adhere to established provider fee schedules and coordinate rate negotiations with the Vice President, Provider Relations, and Vice President, Finance.
• Assist with provider orientations, including individual and regional training sessions, as requested.
• Serve as a liaison with treatment providers, clients, patients, and others, and resolve problems in a timely manner.
• Support the Clinical Division with client- or case-specific provider connections and problem-solving, as directed.
• Assist the Clinical, Accounting, and Marketing divisions with support services related to specific or potential client contracts and help prepare proposals as requested.
• Maintain corporate, departmental, and quality assurance policies and procedures; recommend new or revised policies, procedures, PPO contract forms, and rates as appropriate.
• Participate in marketing and provider relations efforts, special projects, research, and public relations activities as appropriate.
• Coordinate information on competition, regional or city provider rates, national statistics, and relevant developments in the field with the Vice President, Provider Relations.
• Recommend product-line enhancements and prepare reports as requested.
• Perform other related duties, attend meetings, and advise the Vice President, Provider Relations on developments in the field.

What This Job Offers

• Job Type: Full-time