Senior Network Development Executive

🔥 15 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.

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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 strategic market development plans by recruiting targeted providers • Develop and implement negotiation strategies • Conduct contracts negotiations for Home Health, DME, and IV services • Lead and participate in development activities across new and existing markets • Track and report recruitment activities, progress, and barriers to successful, on-time go-live • Negotiate provider contracts to achieve appropriate network size, composition, geographic distribution, quality, and reimbursement strategies • Manage territories and evaluate provider performance from multiple perspectives • Meet organizational recruitment and strategic initiative goals • Maintain accurate, up-to-date contact, clinical, and other key staff information for each provider location • Work with key departments to implement Provider Agreements from initiation through approval, including provider-credentialing applications • Perform other assigned tasks as necessary or required

🎯 Requirements

• Must reside in AZ/CO • Bachelor's degree or better • 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 and relationships between health plans, providers, and referral sources in the local market • Knowledge of contract data software, such as Salesforce (preferred) • Must ensure provider contractual relationships comply with regulatory requirements and organizational policies

🏖️ 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