Senior Network Recruiter

Versant Health•Troy, NY

4d•$65,000 - $70,000•Onsite

About The Position

Versant Health is a leading administrator of managed vision care, serving millions of members across the United States. Their purpose is to make healthy vision a reality for everyone by improving access to care and education. They are looking for a Sr. Network Recruiting Specialist to recruit vision providers for the Superior Vision network. This role involves following up with providers during the credentialing process, providing service and education, and maintaining the network. The ideal candidate will be highly motivated with medical surgical recruitment experience, facility contracting experience, and strong negotiation, sales, interpersonal, and communication skills.

Requirements

Bachelor’s degree preferred. High School diploma/GED accepted with appropriate work experience.
3 – 5+ years of experience in Medical Surgical Network Development.
Minimum of 1 year experience with Medicare and Medicaid programs is preferred.
HIPAA & Security Requirements: 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

Medical surgical recruitment experience
Facility contracting experience
Excellent negotiations, sales, interpersonal and communication skills
Willingness to work hard to meet goals

Responsibilities

Recruits and contracts new vision providers and facilities into Superior 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.
Willingness to travel throughout the contingent US, as needed, to the contracted retail chain locations for relationship building and training purposes.
Work with Director of Network Development and Provider Relations to identify appropriate recruitment strategies.
Required to travel to meet clients in person.
Other duties as assigned.