Sr. Network Development Specialist

Integrated Home Care Services, Inc.

18h

About The Position

IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1. Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico. Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

Requirements

Critical thinking skills that solve problems with a logical and analytical discipline.
Intimate knowledge of how providers operate and how plan policies may influence or be impacted by this structure.
Understanding of various reimbursement methodologies and how it relates to cost.
Knowledge of providers in assigned geographic area with a detailed understanding of the relationships between Health plans, Providers and Referral sources in local market.
Ability to ensure that all provider contractual relationships comply with regulatory requirements, IHCS and Department Policies and Procedures.
Ability to work closely with key Departments to ensure successful implementation of Provider Agreements from initiation to approval, including provider-credentialing applications.
Ability to maintain accurate, up-to-date information regarding key contact, clinical, and other key staff at each provider location.

Responsibilities

Manages strategic market development plan by recruiting targeted providers in designated markets and geographic areas.
Develops and implements negotiation strategies and conducts contract negotiations specific to (Home Health, DME, and IV) in conjunction with Executive Director, Market Development.
Leads and participates in development activities throughout both new and existing markets, including tracking and reporting of recruitment activities, progress and barriers to a successful, on time go live.
Advances IHCS in the provider market through a positive provider experience by negotiating contracts with providers to ensure appropriate size, composition and geographic distribution to meet all health plan and regulatory standards including quality and reimbursement strategies.
Manages territories with a business perspective that can evaluate provider performance from various perspectives.
Exhibits critical thinking skills that solve problems with a logical and analytical discipline.
Meets the organizations recruitment and strategic initiative goals.
Demonstrates an intimate knowledge of how providers operate and how plan policies may influence or be impacted by this structure and understanding of various reimbursement methodologies and how it relates to cost.
Demonstrates knowledge of providers in assigned geographic area with a detailed understanding of the relationships between Health plans, Providers and Referral sources in local market.
Ensures that all provider contractual relationships comply with regulatory requirements, IHCS and Department Policies and Procedures.
Works closely with key Departments to ensure successful implementation of Provider Agreements from initiation to approval, including provider-credentialing applications.
Maintain accurate, up-to-date information regarding key contact, clinical, and other key staff at each provider location.
Perform other assigned tasks as necessary or required.