Network Recruitment and Development Specialist

Workplace Options; Florida; On-site; USD 60,000 - 90,000; Full time

Job summary

Workplace Options, in partnership with Behavioral Health Systems, is seeking a Network Recruitment and Development Specialist in the US. The role focuses on expanding and maintaining a PPO provider network, negotiating rates, and orienting providers.

You will report to the Vice President of Provider Relations and collaborate across clinical, accounting, and marketing divisions. The position requires a Bachelor's degree, 3+ years in provider relations, and strong communication skills.

Qualifications

• Bachelor's degree in a related field is required.
• Three years provider relations experience, PPO/HMO or similar setting preferred.
• Experience in managed care/PPO environment is required.
• Experience in mental health field and public relations is preferred.
• Familiarity with case management/utilization review functions.
• Familiarity with computerized applications (PCs, Word, Access and the Internet).
• Experience in services to business, industry is preferable.
• Strong communication and organizational skills.

Responsibilities

• Develop, expand and maintain PPO network; include provider identification and rate negotiation.
• Assist in provider orientations including training sessions.
• Serve as liaison with treatment providers, clients and patients; resolve problems promptly.
• Support Clinical Division and other departments in client contracts and proposals.
• Maintain policies and propose revisions to PPO contract forms and rates.
• Participate in marketing and provider relations efforts; assist in special projects.

Skills

Excellent communication

Problem solving

Telephone outreach

Cooperative attitude

Self-starter

Assertive

Goal-oriented

Group presentations

Education

Bachelor's degree in related field

Tools

Microsoft Word

Microsoft 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 ofproviders.

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 asrequested. 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 https://behavioralhealthsystems.com/