Network Contracting Specialist

🕒 Junho 26

🌽 Illinois, Kansas, +3 estados a mais – Remoto

🌽 Illinois – Remote 🌪️ Kansas – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $65.000 - $70.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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Devoted Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2017

🏥 Saúde

⚕️ Seguro de Saúde

🧘 Bem-estar

Healthcare • Healthcare Insurance • Wellness

A Devoted Health é uma empresa de saúde que oferece planos Medicare Advantage projetados para fornecer cobertura de saúde abrangente com benefícios adicionais como cuidados dentários, óculos, associações a academias e medicamentos prescritos a preços competitivos. A empresa enfatiza o suporte e serviço ao membro, garantindo que os clientes possam navegar facilmente por seus benefícios e acessar os serviços de saúde necessários. A Devoted Health está comprometida em ajudar os clientes a economizar dinheiro e melhorar sua saúde e bem-estar por meio de um pacote completo de benefícios e suporte.

Descrição

• Identify and engage healthcare providers who are a strong fit for the Devoted Health network through targeted outreach and relationship development. • Build, expand and maintain a high-quality provider network within an assigned geographic territory. • Represent Devoted Health to prospective providers by clearly communicating our mission, model, and network expectations. • Guide providers through the contracting process, including education on terms, requirements, and next steps. • Facilitate the provider contracting process by preparing and routing standard agreements in alignment with approved templates and pricing guidelines. • Coordinate contract execution activities, including tracking required documentation, managing workflows, and facilitating timely signatures. • Use relevant data, market insights, and provider information to analyze issues, support negotiations, and contribute to resolving contracting challenges in collaboration with leadership. • Prioritize assigned contracting activities within established guidelines, exercising sound judgment and escalating questions or risks as appropriate to meet deadlines and performance goals. • Partner cross-functionally with Legal, Network Operations, Credentialing, Finance, and Market teams to surface issues and drive resolution. • Maintain accurate documentation and status tracking within internal systems. • Contribute to broader Network Development initiatives and continuous process improvement efforts. • Perform other job-related duties as assigned.

🎯 Requisitos

• High school diploma or equivalent. • Proficiency with Google Workspace and/or Microsoft Office products. • Strong organizational and time-management skills. • Ability to work independently and exercise sound judgment. • Valid driver’s license and ability to travel locally as needed. • Bachelor’s degree or equivalent professional experience (desired). • Healthcare, health insurance, or provider contracting experience (desired). • Understanding of Medicare Advantage programs, network requirements, and provider contracting models (desired). • Sales, business development, or relationship-management background (desired). • Strong written and verbal communication skills (desired). • High attention to detail and follow-through (desired). • Comfort working across multiple systems and tools simultaneously (desired). • Ability to make timely, independent decisions within established guidelines (desired).

🏖️ Benefícios

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....