Network Sourcing and Development SpecialistWorkplace Options, LLC • New York, New York, United States
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Network Sourcing and Development Specialist
Workplace Options, LLC
- New York, New York, United States
- New York, New York, United States
Über
BHS operates one of the nation’s largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centres, partial hospitalization programmes and intensive outpatient programmes. BHS fully credentials and panels its own network of providers.
Current Opportunity Network Sourcing and Development Specialist
Location US
Employment Type Full‑time (40 hours per week)
What you will do Reporting to the Vice President, Provider Relations, this position is responsible for continued development of the PPO network, PPO rate negotiations, and orientation of providers.
Responsibilities
Develop, expand and maintain the PPO network, to include new provider identification, solicitation and rate negotiation. Adhere to established provider fee schedules. Coordinate rate negotiations with the 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 direct support to the Clinical Division. Assist the Clinical Division as directed in client/case‑specific provider hook‑ups and problem‑solving.
Assist the Clinical Division and Accounting/Marketing Divisions as requested in support services related to specific or potential client contracts. Assist in preparation of 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 ongoing marketing and provider relations efforts, as directed. Participate in special projects, ongoing 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 the Vice President, Provider Relations. Make recommendations on product line enhancements. Prepare reports as requested.
Perform other related duties as directed or deemed appropriate. Attend meetings as requested. Advise the Vice President, Provider Relations on developments in the field.
Qualifications/Skills
Bachelor’s in related field.
Three years of provider relations experience required, preferably with PPO/HMO or a similar setting.
Experience in a managed‑care/PPO environment.
Some experience or involvement in the mental health field and public relations preferred.
Familiarity with case management/utilisation 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, contractual terms.
Excellent communication skills (written and oral) and organisational skills.
Experience in group presentations/speaking preferable.
Excellent problem‑solving abilities.
Willing to perform extensive telephone work.
Professional appearance.
Cooperative attitude and self‑starter. Assertive. Goal‑oriented.
For further information about BHS please see https://behaviouralhealthsystems.com/providers/
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Sprachkenntnisse
- English
Hinweis für Nutzer
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