Network Contracting Specialist

🕒 il y a 1 mois

🌽 Illinois, Kansas, +3 états de plus – Distant

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💵 $65 000 - $70 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 19%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Devoted Health

Devoted Health

1001 - 5000 employés

Fondée en 2017

🏥 Santé

⚕️ Assurance santé

🧘 Bien-être

Healthcare • Healthcare Insurance • Wellness

Devoted Health est une entreprise de santé qui propose des plans Medicare Advantage conçus pour offrir une couverture sanitaire complète avec des avantages supplémentaires tels que les soins dentaires, les lunettes, les abonnements à la salle de gym, et les médicaments sur ordonnance à des tarifs compétitifs. L'entreprise met l'accent sur le soutien et le service aux membres, garantissant que les clients peuvent facilement naviguer dans leurs prestations et accéder aux services de santé nécessaires. Devoted Health s'engage à aider ses clients à économiser de l'argent et à améliorer leur santé et leur bien-être grâce à un ensemble complet d'avantages et de soutiens.

Description

• 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.

🎯 Exigences

• 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).

🏖️ Avantages

• 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....

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