Network Contracting Representative

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🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $60k - $68k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Health Network One

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1999

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification.

📋 Description

• Responsible for developing, maintaining and supporting the day-to-day Specialty Provider Networks (SPN) contracting initiatives. • Key Responsibilities: Coordinate the prospecting calls to potential providers for inclusion in the targeted SPN. • Generate leads for SPN contracting via different methods. • Coordinate the entire contracting process for all potential providers, including prospecting, negotiation and credentialing. • Collect all providers signed contracts, applications and necessary credentialing information. • Support the activities of Network Development for the corresponding SPNs assigned. • Ensure integrity of data entered into Company systems and/or databases. • Perform additional duties and related essential duties as assigned.

🎯 Requirements

• (5) or more years of contracting/development experience • Five (5) years of extensive working background in the managed care industry • Ability to safely and successfully perform essential job functions consistent with the ADA, FMLA, and other federal, state, and local standards, including meeting qualitative and/or quantitative productivity standards. • Ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, other federal, state, and local standards, and company attendance policies and procedures. • Compliance with all personnel policies and procedures.