Network Recruitment and Development Specialist

Workplace Options; Austin (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Workplace Options seeks a Network Recruitment and Development Specialist to strengthen the PPO network and negotiate provider rates. You will work closely with the Vice President, Provider Relations, to expand partnerships with psychiatrists, psychologists, and other providers and to support orientation of new network partners.

This full-time role focuses on growing the network, maintaining fee schedules, and collaborating with Clinical and Finance teams on contracts and proposals, while

Qualifications

• Bachelor's in related field.
• Three years provider relations experience, preferably with PPO/HMO or similar setting.
• Experience in managed care/PPO environment.
• Some experience in mental health field and public relations preferred.
• Familiarity with case management/util. review functions.
• Familiarity with computerized applications (PCs, Word, Access and the internet).
• Experience in services to business, industry preferable.
• Experience with fiscal issues, rate negotiations, contractual terms.
• Excellent communication skills (written and oral) and organization skills.
• Experience in group presentations/speaking preferable.
• Excellent problem-solving abilities.
• Willing to perform extensive telephone work.
• Professional appearance.
• Cooperative attitude and self-starter.
• Assertive.
• Goal-oriented.

Responsibilities

• Develop, expand and maintain PPO network, including new provider identification, solicitation and rate negotiation.
• Adhere to established provider fee schedules.
• Coordinate rate negotiations with Vice President, Provider Relations and Vice President, Finance.
• Assist in conducting BHS provider orientations, including individual and regional training sessions.
• Serve as liaison with treatment providers, clients, patients, and others.
• Resolve problems on a timely basis.
• Provide support to Clinical Division as directed in client/provider hookups and problem-solving.
• Assist in preparation of proposals and related contracts.
• Maintain corporate, departmental and quality assurance policies and procedures.
• Participate in on-going marketing and provider relations efforts.

Skills

Provider relations

Communication

Public relations

Presentation

Team coordination

Telephone work

Education

Bachelor's degree

Tools

MS Word

MS Access

Internet

Job description

About this opportunity

Workplace Options is proud to support our sister organisation, Behavioral Health Systems (BHS), in recruiting a Network Recruitment and Development Specialist. If you're passionate about building strong provider networks and making a real impact, this is your chance to be part of something meaningful and transformative. BHS operates one of the nation's largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. BHS fully credentials and panels their own network of providers.

Current Opportunity

Network Recruitment and Development Specialist

Location: US

Full-time/Part-time

This is a full-time (40 hours per week) position.

What you will do

Reporting to the Vice President, Provider Relations, this position isresponsible for continued development of PPO network, PPO rate negotiations, and orientation of providers.

Responsibilities

• Develop, expand and maintain PPO network, to include new provider identification, solicitation and rate negotiation.
• Adhere to established provider fee schedules.
• Coordinate rate negotiations with Vice President, Provider Relations and Vice President, Finance.
• Assist in conducting BHS provider orientations, to include individual and regional provider training sessions, as requested.
• Serve as liaison with treatment providers, clients, patients, and others, as requested.
• Resolve problems on a timely basis.
• Provider Relations Division serves in direct support role to the Clinical Division.
• AssistClinical Division as directed in client/case-specific provider hook-ups and problem-solving.
• Assist Clinical Division and Accounting/Marketing Divisions as requested in support servicesrelated to specific or potential client contracts.
• Assist in preparation of proposals asrequested.
• Maintain corporate, departmental and quality assurance policies and procedures.
• Recommend new policies/procedures as deemed appropriate.
• Recommend revisions to PPOcontract forms and rates as appropriate.
• Participate in on-going marketing and provider relations efforts, as directed.
• Participate inspecial projects, on-going research and public relations efforts as appropriate.
• Coordinateinformation on competition, provider rates by region or city, national statistics and relevantchanges in the field with Vice President, Provider Relations.
• Make recommendations on product line enhancements.
• Prepare reports as requested.
• Perform other related duties as directed or deemed appropriate.
• Attend meetings as requested.
• Advise Vice President, Provider Relations on developments in the field.

Qualifications/Skills

• Bachelors in related field.
• Three years provider relations experience required, preferably with PPO/HMO or similarsetting.
• Experience in managed care/PPO environment.
• Some experience/involvement in mental health field and public relations preferred.
• Familiarity with case management/util. review functions.
• Familiarity with computerized applications (PCs, Word, Access and the internet).
• Experience in services to business, industry preferable
• Experience with fiscal issues, rate negotiations, contractual terms.
• Excellent communication skills (written and oral) and organization skills.
• Experience in group presentations/speaking preferable.
• Excellent problem-solving abilities.
• Willing to perform extensive telephone work.
• Professional appearance.
• Cooperative attitude and self-starter.
• Assertive.
• Goal-oriented.

For further information about BHS please see