Provider Network Development Specialist
About The Position
The Provider Network Development Specialist develops, expands, and maintains a high-performing provider network that supports organizational goals and member access requirements. The role identifies, recruits, contracts with, and manages relationships with ancillary providers, including Home Health Agencies, Durable Medical Equipment (DME) providers, Infusion/IV Therapy providers, and other healthcare service organizations. The Specialist serves as a key liaison between the organization and contracted providers. The role leads network expansion initiatives, negotiates contract terms, ensures operational readiness, monitors provider performance, and maintains compliance with regulatory and contractual requirements. It collaborates closely with Operations, Credentialing, Compliance, Legal, and Provider Data Management teams to support an effective provider network.
Requirements
- Bachelor's degree in Healthcare Administration, Business Administration, Marketing, Public Health, or a related field; equivalent experience may be considered.
- Minimum of three years of provider contracting, provider relations, network development, or healthcare business development experience.
- Experience negotiating provider agreements and reimbursement arrangements.
- Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook.
- Valid driver's license and ability to travel within assigned service areas as needed.
Responsibilities
- Develop, expand, and maintain a high-performing provider network.
- Identify, recruit, and contract with ancillary providers, including Home Health Agencies, DME providers, Infusion/IV Therapy providers, and other healthcare service organizations.
- Manage relationships with contracted providers and serve as a key liaison between providers and the organization.
- Lead network expansion initiatives.
- Negotiate contract terms and provider reimbursement arrangements.
- Ensure provider operational readiness.
- Monitor provider performance.
- Maintain compliance with regulatory and contractual requirements.
- Collaborate with Operations, Credentialing, Compliance, Legal, and Provider Data Management teams.
Benefits
- Medical, vision, and dental insurance.
- Short- and long-term insurance.
- Six or more days of holiday pay.
- 13 days of paid time off (PTO).
- Employer-paid life insurance.
- 401(k) with employer contribution.
- Wellness program with reward incentives.
- Employee recognition and reward programs.
- Comprehensive paid training program.
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What This Job Offers
Job Type
Full-time
