Network Development Specialist

Pegasus Knowledge Solutions, Inc.; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

A healthcare solutions company is seeking a Network Development Specialist to expand their network by recruiting new PT providers offering Workers Comp services. Key responsibilities include researching potential providers, ensuring follow-up on recruitment efforts, and working with various teams to meet organizational goals. The ideal candidate will have a degree or equivalent experience, strong communication and negotiation skills, and proficiency in Microsoft Office. This role requires effective documentation and the ability to resolve conflicts effectively.

Qualifications

• 4-year degree or equivalent education and experience.
• Prior experience in a medical or recruitment environment is required.
• Excellent communication, negotiation, and organizational skills.
• Strong documentation, listening, and phone skills.
• Initiative to troubleshoot and resolve conflict.
• Basic proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook).

Responsibilities

• Research and recruit potential providers for new product lines.
• Monitor and ensure timely follow-up on recruited providers.
• Document recruitment status in designated tracking system.
• Work with other Network Specialists to facilitate provider participation.
• Identify potential providers based on client needs.
• Engage in heavy telephonic recruitment of providers.
• Assist Manager in meeting monthly and annual goals.
• Collaborate with teams on service additions and contract queries.

Skills

Excellent communication skills

Negotiation skills

Organizational skills

Problem-solving skills

Documentation skills

Listening skills

Phone skills

Initiative

Conflict resolution

Microsoft Office Skills

Education

4-year degree or equivalent education and experience

Job description

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 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) Basic Proficiency