Provider Network Growth 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

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