Network Sourcing and Development Specialist

🕒 Fevereiro 17

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🛒 Suprimentos (Compras)

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Workplace Options

Workplace Options

1001 - 5000 funcionários

Fundada em 1982

🤝 B2B

🧘 Bem-estar

👥 RH Tech

💰 Private Equity Round em 2021-11

B2B • Wellness • HR Tech

Workplace Options é o maior fornecedor privado e independente do mundo de soluções integradas de bem-estar para funcionários. Eles se especializam em oferecer estratégias de suporte holísticas para organizações focadas em melhorar o bem-estar dos funcionários, a saúde mental e a produtividade através de vários serviços, incluindo suporte emocional, consultoria de eficácia organizacional e soluções digitais adaptadas às necessidades individuais. Com um alcance global cobrindo mais de 200 países, eles estão comprometidos em promover resultados positivos tanto para os funcionários quanto para as organizações.

Descrição

• 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. • 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.

🎯 Requisitos

• Bachelors in related field. • 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/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.

🏖️ Benefícios

• Health insurance • Professional development opportunities

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