Senior Network Development Executive

🔥 14 hours ago

🌵 Arizona, Colorado – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote

⏰ Full Time

🟠 Senior

👔 Executive

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Integrated Home Care Services, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Integrated Home Care Services, Inc. is an integrated home care benefits manager that coordinates and manages value-based home health services, durable medical equipment, and home infusion for patients and members on behalf of health plans and providers. It provides network development and credentialing, utilization management, claims adjudication, analytics, and a technology-enabled platform for referrals, real-time documentation, and 24/7 access to services, aiming to reduce costs, improve outcomes, and streamline administration for payers, providers, and patients.

📋 Description

• Represent and advance IHCS' interests in the provider market across Arizona and Colorado • Evaluate provider viability and strategic fit • Identify, select, and recruit home health, home infusion, and durable medical equipment providers • Manage the strategic market development plan by recruiting targeted providers • Develop and implement negotiation strategies • Conduct contract negotiations for Home Health, DME, and IV services • Lead and participate in development activities in new and existing markets • Track and report recruitment activities, progress, and barriers to successful go-live • Negotiate contracts to ensure appropriate provider size, composition, geographic distribution, quality, and reimbursement strategies • Manage territories and evaluate provider performance from various perspectives • Solve problems using logical and analytical critical thinking • Meet organizational recruitment and strategic initiative goals • Ensure provider contractual relationships comply with regulatory requirements and IHCS policies • Coordinate successful implementation of Provider Agreements from initiation to approval, including provider-credentialing applications • Maintain accurate, up-to-date information on key contacts, clinical staff, and other staff at provider locations • Perform other assigned tasks as necessary or required

🎯 Requirements

• Must reside in AZ/CO • Bachelor's degree or better preferred • 4 years of contracting experience • Mastery of basic negotiating skills and contract language • Understanding of managed care concepts • Knowledge of provider operations and reimbursement methodologies • Knowledge of providers in the assigned geographic area • Understanding of relationships between health plans, providers, and referral sources in the local market • Ability to ensure provider contractual relationships comply with regulatory requirements and policies • Preferred knowledge of contact data software, such as Salesforce

🏖️ Benefits

• Medical, Vision, Dental, Short- and Long-term insurance • 6+ Days of Holidays Pay • 17 days of PTO • Employer paid life insurance • 401K with employer contribution • Wellness program with reward incentives • Employee recognition and reward programs • Comprehensive paid training program • Competitive compensation package