Provider Network Relations Specialist - Development

Comprehensive Health Services; North Carolina; Hybrid; USD 60,000 - 90,000; Full time

Job summary

Acuity International is seeking a recruiter to bring medical facilities into its worldwide provider network. The role requires extensive phone work, cold calling, and pricing negotiation with facilities CONUS and OCONUS.

You will also manage documentation, credentialing coordination, and reporting in support of Provider Network Operations. All duties align with professional standards and ethics, and you will report to the Provider Network Operations Manager.

Qualifications

• High School Diploma and 5-6 years of experience, with 2-3 years of experience specific to medical facility recruitment.
• Ability to participate in interdepartmental project groups or task forces and support marketing/sales objectives.
• Demonstrated comfort with negotiation process required.
• Follows safety policy and maintains clean, safe work area.
• Assists in compliance with OSHA VPP, ISO, JCAHO, AAAHC, NRCME and related standards.
• Proficiency with MS Office and common office equipment, and with computers.

Responsibilities

• Professionally recruits medical facilities and clinics for Occupational Health Services initiatives.
• Develops and communicates a self-generated list of recruitment opportunities through research and networking.
• Manages geographic territory and secures appropriate provider coverage.
• Builds and maintains relationships with facility providers and office staff; responds to communications.
• Negotiates pricing on agreements/addendums with provider representatives within guidelines.
• Collects and disseminates Provider Service Agreement paperwork and coordinates credentialing.
• Resolves complex issues by running advanced reports and handling provider calls.
• Ensures compliance with contract requirements and communicates with stakeholders.
• Participates with managers to identify solutions and delegate projects.
• Works as part of a team to achieve Acuity goals; attends meetings as requested.

Skills

Communication

Analytical skills

Problem solving

Multi-tasking

Cold calling

Adapt to change

Education

High School Diploma

Bachelor's Degree preferred

Tools

MS Office

Job description

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career!

Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information.

Job Summary:

This position is responsible for recruiting medical facilities into Acuity's worldwide provider network and acting as their primary liaison with the company. Extensive phone work is required; actively cold calling and negotiating pricing with medical facilities both CONUS and OCONUS. Strong sourcing, documentation, reporting, negotiation and problem-solving skills are essential for this position. Reports to the Provider Network Operations Manager (Development).

All services shall be provided in accordance with established standards, principles and ethics of the profession, applicable professional specialty organizations, and the high-quality standard for which Acuity is recognized.

Duties and Responsibilities:

• Professionally interacts with and recruits medical facilities and clinics in support of the company's Occupational Health Services Business Line initiatives, with low to moderate need for direction.
• Continuously develops and communicates with a self-generated list of recruitment opportunities, via thorough research and networking within the areas of focus.
• Understands assigned geographic territory and proactively secures appropriate provider coverage.
• Builds and maintains professional relationships with facility providers and office staff. Responds timely to communications.
• Learns basic details of medical exam components and skillfully negotiates pricing on agreements and/or addendums with appropriate provider representatives within specified guidelines.
• Learns and uses knowledge of various software applications necessary to accurately set up and maintain facility information, as well as being capable of running reports to support recruitment efforts.
• Collects and disseminates all Provider Service Agreement paperwork appropriately; identifies individuals for credentialing and communicates with the Credentialing Manager for processing.
• Resolves complex issues to include running advanced reports and resolving difficult provider calls with professional ease.
• Demonstrates thorough understanding of Commercial & Government contract requirements as they apply to medical facilities/entities.
• Communicates with the Acuity Program Managers, Assistant Program Managers, and other key stakeholders to resolve issues.
• Participates with department Assistant Manager and Manager to both identify and offer potential solutions to complex issues; able to prioritize, train, and delegate special projects as directed.
• Works as a member of a larger team to ensure the success of Acuity goals and assists in motivating team members to excel.
• Attends meetings upon request of Director, Manager, or Assistant Manager.
• Performs miscellaneous job-related duties as assigned.

Qualifications:

• High School Diploma and 5-6 years of experience, with 2-3 years of experience specific to medical facility recruitment.
• Ability to participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. Supports marketing/sales objectives and efforts as requested.
• Demonstrated comfort with negotiation process required.
• Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training, and goals. Ensures safe operating conditions within the area of responsibility. Encourages co-workers to work safely. Identifies "close calls" and/or safety concerns to supervisory personnel. Maintains a clean and orderly work area.
• Assists in active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, JCAHO, AAAHC, NRCME (DOT) and other mandated regulations/standards.
• Proficiency with computers and common office equipment, as well as with MS Office products required.
• Must have excellent oral and written communication skills, strong analytical and problem-solving skills, the ability to thrive and multi-task in a dynamic, fast-paced environment; be comfortable with cold calling, and the ability to adapt to a change when needed.

Preferred Qualifications:

• Bachelor's Degree preferred.

Physical Requirements and Work Conditions:

• Work is normally performed in a typical interior/office or at-home work environment.
• Work involves sitting and standing for prolonged periods of time.

Acuity International is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, age, disability, or protected veteran status.

For OFCCP compliance, the taxable entity associated with this job posting is:

Acuity-CHS, LLC