Provider Contracting Specialist

• Description SUMMARY/OBJECTIVE The Network Development Specialist will perform network recruitment duties for the Provider Relations Department as directed by the Provider Relations Manager: ESSENTIAL DUTIES AND RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• 1.
• Identifies, sources, and recruits qualified providers to join the PremierComp Solutions physical therapy and diagnostic imaging networks.
• 2.
• Sources and screens potential candidates through various channels including but not limited to; company reference lists/directories, industry publications, national network databases, various other recruitment tools and techniques 3.
• Provides ongoing communications and follow-up with network prospects throughout the recruitment and on-boarding process.
• 4.
• Negotiates financial and service terms of contracts with network provider prospects in accordance with the contract guidelines/parameters established by the Provider Relations Manager and Executive Management team 5.
• Alerts Provider Relations Manager of any request from network prospects attempting to negotiate terms financial or otherwise that fall outside our corporate guidelines as established at the time.
• 6.
• Assists in the negotiation of Single Patient Agreements (SPA’s), document requests, and the entering of new network provider contracts received by other Provider Relations representatives.
• 7.
• Develops and maintains relationships with network provider professionals and organizations 8.
• Works in conjunction with the department Coordinator and Manager to develop a comprehensive recruitment program to ensure adequate network coverage in accordance with the needs and goals of the organization 9.
• Assists with identifying and assessing untapped areas of opportunity (white space mapping) and develops a strategic plan encompassing the immediate and long-term needs of the organization 10.
• Monitors the Provider Relations mailbox for credentialing inquires/requests to ensure they are addressed timely 11.
• Follows all department procedures as outlined in the Provider Relations Manual pertaining to recruiting/internal/external notifications, changes/updates in CMS or Document Manager

Requirements

TRAVEL No travel is expected for this position. REQUIRED EDUCATION, EXPERIENCEANDCOMPETENCIES 1. 2 year’s experience in provider recruitment preferred 2. Healthcare background and/or medical provider recruitment experience is preferred 3. Strong proficiency in computer-based programs such as MS Office, Applicant Tracking Systems, online mining/sourcing, and interactive media tools. 4. Strong analytical and organizational skills 5. Excellent verbal and written communication skills 6. Ability to prioritize, problem solve, multi-task, and work independently 7. Ability to work well in a team environment, strong interpersonal skills PREFERRED EDUCATION ANDEXPERIENCE Business school graduate or 2+ years relevant work experience AAP/EEO STATEMENT PremierComp Solutions, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veterans status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Employees and applicants shall not be subjected to harassment, intimidation, threats, coercion or discrimination because they have: (1) filed a complaint; (2) assisted or participated in an investigation, compliance review hearing or any other activity related to administration of any federal, state or local law requiring equal opportunity or(4) exercised any other right protected by federal, state or local law requiring equal opportunity.