Provider Network Growth Strategist

Workplace Options; Oregon; Hybrid; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

Workplace Options is seeking a Network Recruitment and Development Specialist to grow and manage the PPO provider network, negotiate rates, and orient providers. This role reports to the VP of Provider Relations and interfaces with Clinical, Accounting, and Marketing teams.

You will expand networks, conduct provider trainings, and coordinate negotiations across regions, ensuring alignment with policies and market standards. Strong communication and negotiation skills are essential.

Qualifikationen

• Bachelor's degree in related field required.
• Three years provider relations experience required, preferably with PPO/HMO or similar setting.
• Experience in managed care/PPO environment.
• Some experience/involvement in mental health field and public relations preferred.
• Familiarity with case management/utilization 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.

Aufgaben

• Develop, expand and maintain PPO network, to include new provider identification, solicitation and rate negotiation.
• 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. Assist Clinical Division as directed in client/case-specific provider hook-ups and problem-solving.
• Assist Clinical Division and Accounting/Marketing Divisions as requested in support services related to specific or potential client contracts. Assist in preparation of proposals as requested.
• Maintain corporate, departmental and quality assurance policies and procedures. Recommend new policies/procedures as deemed appropriate. Recommend revisions to PPO contract forms and rates as appropriate.
• Participate in on-going marketing and provider relations efforts, as directed. Participate in special projects, on-going research and public relations efforts as appropriate. Coordinate information on competition, provider rates by region or city, national statistics and relevant changes 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.

Kenntnisse

Provider relations

PPO/HMO experience

Mental health knowledge

Public relations

Communication skills

Problem-solving

Phone/telephone work

Presentation skills

Cooperative attitude

Self-starter

Ausbildung

Bachelor's degree in related field

Tools

Word

Access

Internet

Jobbeschreibung

Workplace Options is seeking a Network Recruitment and Development Specialist to grow and manage the PPO provider network, negotiate rates, and orient providers. This role reports to the VP of Provider Relations and interfaces with Clinical, Accounting, and Marketing teams.

You will expand networks, conduct provider trainings, and coordinate negotiations across regions, ensuring alignment with policies and market standards. Strong communication and negotiation skills are essential.