Healthcare network Provider-Remote- Fulltime/Direct Hire
Managed Care Specialist
Duration : Full Time / Permanent
Location : Remote
Summary
The Network Development Specialist is responsible for growing the network nationwide by adding new PT providers that offer Workers Comp services to injured workers. This position will be the point of contact to negotiate contract terms that satisfy all internal and external obligations, including State mandates.
Potential network providers are contacted based on several factors that improve footprint, geographical coverage and outcomes to injured workers
Responsibilities: ? Research and recruit potential providers for current and new product lines. ? Monitor and ensure that follow-up on recruited providers happens in a timely fashion. ? Timely documentation of recruitment status and efforts in designated tracking system. ? Work with other Network Specialist s to aggressively move potential providers toward participation with the network. ? Strategic identification for potential providers based on client s needs. ? Heavy telephonic recruitment/contact with providers. ? Assist Manager in strategic development and achievement of monthly/annual goals. ? Work with all teams within Provider Management for requests on adding new services, questions about contracts or work on leads from Account Management or Patient Advocacy Team. ? Strictly adheres to all aspects of our client's Confidentiality, Privacy and Security Standards Policies and Confidentiality Operating Procedures in performing work.
Qualifications :
? 4-year degree, or equivalent education and experience
? Prior experience in a medical (PPO, HMO, Provider Network), insurance or sales oriented recruitment environment is required for this position
? Excellent communication, negotiations, organizational, and problem solving skills
? Documentation, listening and phone skills
? Initiative and the ability to troubleshoot and resolve conflict
Microsoft Office Skills (Word, Excel, PowerPoint, Outlook)
Similar Remote Jobs
Healthcare network Provider-Remote- Fulltime/Direct Hire
Posted on: 20-01-2025 06:20
Remote Receptionist- Santa Fe, NM
Posted on: 20-01-2025 06:20
Online Survey Side Hustle Expert
Posted on: 20-01-2025 06:20
Chewy Customer Support Specialist (Remote)
Posted on: 20-01-2025 06:20
Game Rant | Comment Moderator
Posted on: 20-01-2025 06:20
Family Nurse Practitioner - Remote
Posted on: 20-01-2025 06:20
Online Training Specialist - Remote
Posted on: 20-01-2025 06:20
Remote Outbound Call Center Agent
Posted on: 20-01-2025 06:20
RN ICU Intensive Care Unit
Posted on: 20-01-2025 06:20
Delivery Driver 02238 FLEXIBLE SCHEDULE
Posted on: 20-01-2025 06:20
Staff Software Engineering Manager, Billing Platform (REMOTE)
Posted on: 26-11-2024 06:19
-Remote Non-Captive Life Insurance Agent, Newest Technology, Great PT/FT Income
Posted on: 24-01-2025 00:00
South Euclid Biomechanics Tutor
Posted on: 20-08-2024 00:00
Scheduling Assistant - Entry Level (Virtual)
Posted on: 27-12-2024 04:28
Apple Home Advisor (Remote)
Posted on: 14-02-2025 07:17
Delta Airlines Remote Data Entry Jobs $28/H - Work From Home Job
Posted on: 16-07-2024 18:37
Virtual Special Education Teacher
Posted on: 29-08-2024 00:00
Retail Sales Consultant - EAU CLAIRE, WI (EAU CLAIRE)
Posted on: 22-10-2024 05:26
Creative Product Design Intern, Spring 2025
Posted on: 16-09-2024 00:00
Social Media Manager 5-10 Hours per Week (IC-FC)
Posted on: 27-11-2024 06:07