Network Development Specialist I

About the role

About Our Client: The organization partners with specialty benefits payers and government agencies to manage dental and vision benefits. It addresses challenges in healthcare administration by providing technology and service solutions aimed at improving the efficiency and effectiveness of healthcare organizations.

About the Opportunity: The Network Development Specialist I role focuses on recruiting and contracting with healthcare providers to build and maintain a provider network that meets contractual requirements. This position is critical for ensuring adequate geographic access and network compliance, directly impacting member services and organizational goals.

Responsibilities

• Run and create geographic access reports with assistance
• Perform market analysis on new markets including identifying key providers needed to service members with assistance
• Develop and maintain a complete understanding of contract and network requirements
• Navigate proprietary software applications
• Conduct prospecting calls to new and existing providers to promote network participation and educate on practices and reimbursement
• Negotiate with providers to build and maintain the network, including large groups and dental schools with assistance
• Develop and maintain provider relationships, serving as main contact during the contracting process
• Ensure provider compliance with contracting procedures
• Leverage existing provider relationships to generate referrals
• Identify network access gaps and develop recruitment and contracting strategies
• Understand and explain web portal functionality to providers
• Perform outreach calls and assist in resolving specific access to care issues for members

Requirements

• Bachelor’s Degree in business or related field or equivalent experience
• Minimum 1 year experience in provider relations, contracting, or sales/negotiation
• Proficiency with Microsoft Word, Excel, and Outlook
• Detail-oriented with excellent oral and written communication skills
• Ability to meet project timelines
• Ability to build effective relationships over the phone
• Preferred: Knowledge of contract terminology, reimbursement methods, and dental, medical, physical therapy, and vision products and terminology

Pay

• Compensation Range: $20.32 - $30.48 per hour
• Compensation Midpoint: $25.40 per hour