Sr. Network Development Executive

Job Summary

The Sr. Network Development Executive will represent and advance IHCS' interests in the provider market across Arizona and Colorado as the preferred partner through evaluation of provider viability and strategic fit, strong negotiation skills, and execution of provider agreement strategies.

About the Role

This position is responsible for identifying, selecting, and recruiting home health, home infusion, and durable medical equipment (DME) providers to join the IHCS network.

Responsibilities

• Manages strategic market development plan by recruiting targeted providers in designated markets and geographic areas.
• Develops and implements negotiation strategies and conducts contract negotiations specific to (Home Health, DME, and IV) in conjunction with Executive Director, Market Development.
• Led and participates in development activities throughout both new and existing markets, including tracking and reporting of recruitment activities, progress and barriers to a successful, on-time go-live.
• Advances IHCS in the provider market through a positive provider experience by negotiating contracts with providers to ensure appropriate size, composition and geographic distribution to meet all health plan and regulatory standards including quality and reimbursement strategies.
• Manages territories with a business perspective that can evaluate provider performance from various perspectives.
• Exhibits critical thinking skills that solve problems with a logical and analytical discipline.
• Mets the organizations recruitment and strategic initiative goals.
• Demonstrates an intimate knowledge of how providers operate and how plan policies may influence or be impacted by this structure and understanding of various reimbursement methodologies and how it relates to cost.
• Demonstrates knowledge of providers in assigned geographic area with a detailed understanding of the relationships between Health plans, Providers and Referral sources in local market.
• Ensures that all provider contractual relationships comply with regulatory requirements, IHCS and Department Policies and Procedures.
• Works closely with key Departments to ensure successful implementation of Provider Agreements from initiation to approval, including provider-credentialing applications.
• Maintain accurate, up-to-date information regarding key contact, clinical, and other key staff at each provider location.
• Perform other assigned tasks as necessary or required.

Requirements

• Must reside in AZ/CO

Qualifications

• Knowledge of reimbursement methodologies and cost.
• Understanding of relationships between Health plans, Providers and Referral sources in local market.
• Experience managing territories with a business perspective.
• Experience evaluating provider performance from various perspectives.
• Experience negotiating contracts with providers.
• Experience working with key Departments to ensure successful implementation of Provider Agreements.

Skills

• Strong negotiation skills.
• Strategic market development planning.
• Provider selection and recruitment.
• Contract negotiation and management.
• Provider credentialing and compliance.

Benefits

• Medical, Vision, Dental insurance.
• 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.

Pay

Competitive compensation package, including but not limited to; Medical, Vision, Dental, Short- and Long-term insurance6+ Days of Holidays Pay17 days of PTOEmployer paid life insurance401K with employer contributionWellness program with reward incentivesEmployee recognition and reward programsComprehensive paid training program

Schedule

N/A