Network Recruitment and Development Specialist

About this opportunity

Workplace Options is proud to support its sister organization, Behavioral Health Systems (BHS), in recruiting a Network Recruitment and Development Specialist. If you're passionate about building strong provider networks and making a real impact, this is your chance to be part of something meaningful and transformative. BHS operates one of the nation's largest specialty preferred provider organizations (PPO), which includes psychiatrists, psychologists, social workers, EAP providers, and facility networks such as hospitals, rehab/residential treatment centers, partial hospitalization programs, and intensive outpatient programs. BHS fully credentials and panels their own network of providers.

Current Opportunity

This is a full-time (40 hours per week) position. The Network Recruitment and Development Specialist will:

• Develop, expand and maintain PPO network, to include new provider identification, solicitation and rate negotiation.
• Adhere to established provider fee schedules.
• Carefully coordinate rate negotiations with Vice President, Provider Relations and Vice President, Finance.
• Assist in conducting BHS provider orientations, to include individual and regional provider training sessions, as requested.
• Serve as liaison with treatment providers, clients, patients, and others, as requested.
• Resolve problems on a timely basis.
• Provide support to the Clinical Division, assist in client/case-specific provider hook-ups and problem-solving, and assist in support services related to specific or potential client contracts.
• Prepare proposals as requested.
• Maintain corporate, departmental and quality assurance policies and procedures.
• Recommend new policies/procedures as deemed appropriate.
• Recommend revisions to PPO contract forms and rates as appropriate.
• Participate in on-going marketing and provider relations efforts, as directed.
• Participate in special projects, on-going research and public relations efforts as appropriate.
• Coordinate information on competition, provider rates by region or city, national statistics and relevant changes in the field with Vice President, Provider Relations.
• Make recommendations on product line enhancements.
• Prepare reports as requested.
• Attend meetings as requested.
• Advise Vice President, Provider Relations on developments in the field.

Qualifications/Skills

• Bachelor's degree in a related field.
• Three years of provider relations experience required, preferably with PPO/HMO or similar settings.
• Experience in managed care/PPO environment.
• Some experience or involvement in the mental health field and public relations preferred.
• Familiarity with case management/utilization review functions.
• Familiarity with computerized applications (PCs, Word, Access, and the internet).
• Experience in services to business, industry preferable.
• Experience with fiscal issues, rate negotiations, and contractual terms.
• Excellent communication skills (written and oral) and organizational skills.
• Experience in group presentations/speaking preferable.
• Excellent problem-solving abilities.
• Willingness to perform extensive telephone work.
• Professional appearance.
• Cooperative attitude and self-starter.
• Assertive.
• Goal-oriented.

For further information

To learn more about BHS, please visit https://behavioralhealthsystems.com/providers/.

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