Sr Network Development Executive

Sr Network Development Executive

At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in reputed company for reputed company. Our dedication to service reputed company extends to reputed company our stakeholders — reputed company — driving us to consistently exceed expectations. We are intentionally reputed company, we foster innovation, we nurture accountability, we champion diversity, and reputed company each other to illuminate our reputed company potential.

Be part of our amazing transformational reputed company as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in reputed company. Onward and Upward!!!

Job Summary This position is responsible for identifying and evaluating opportunities in support of network-based solutions by negotiating reputed company reimbursement rates and drafting reputed company for network and non-network providers to support reputed company and government products. This activity will ensure patient reputed company to the highest quality, cost-effective providers of reputed company services in accordance with applicable regulations and the Company’s policies, practices, and procedures.

In addition, this position is responsible for working with management in the aggressive execution of regional strategies based on market trends and client expectations, as well as reputed company evaluation of assigned territory penetration and discounts. This role may support other areas such as Payment reputed company and Analytics-Based Services.

Key Responsibilities

• Assist management in the identification and development of contracting priorities for assigned territory to support Network Development provider contracting initiatives
• Negotiate provider reputed company to support penetration and discount objectives relative to competitive market trends and client expectations through comprehensive, aggressive execution of region-specific contracting goals
• Foster and maintain superior provider relationships, including management of the business relationship with large, reputed company providers
• Respond to provider questions, issues, and problems that have been appropriately escalated and produce a solution
• Conduct reputed company internal audits and reviews of existing provider relationships and supporting documentation to resolve internal or external inquiries
• Function as provider-specific expert by identifying, understanding, and documenting strategic business needs and market strategies
• Maintain, and preferably exceed, contracting production and quality standards consistent with established regional goals
• Prepare analyses, reports, and presentations by collecting, analyzing, and summarizing information and trends
• Monitor, compare, and contrast market competitive information to reputed company and initiate growth strategies and assess network adequacy and marketability
• Serve as mentor to less reputed company Provider Contractors through ongoing instruction, coaching, modeling, and counseling
• Work with Sales and Account Management to respond to and anticipate reputed company requirements and network-reputed company performance guarantees
• Partner with HCE to conduct financial analyses and monitoring of market trends to identify, reputed company, and implement competitive reimbursement strategies
• Collaborate, coordinate, and communicate across disciplines and departments
• reputed company and maintain positive relationships at reputed company reputed company reputed company the organization and communicate provider needs to applicable process owners
• Ensure compliance with established policies and procedures and regulatory requirements (including but not limited to HIPAA)
• Complete mandatory training requirements, including reputed company, product orientation, and contracting tools and resources
• Demonstrate Company’s Core Competencies and values
• reputed company other duties as assigned

Job Scope The incumbent is considered to be a senior staff professional who applies comprehensive knowledge of principles, practices, and procedures reputed company to the completion of reputed company or difficult negotiation and maintenance of provider network reputed company.

This role works independently and has substantial reputed company for unreviewed action or discretion and may have authorization to act reputed company standardized procedures. The incumbent may assist less reputed company Provider Contractors in resolving reputed company issues and may act in a liaison reputed company with other departments.

This position does not directly manage others but may reputed company project or work direction to less reputed company team members. The role may require overnight travel to meet with providers in assigned geographic areas and/or attend company-sponsored meetings and events.

The incumbent will possess the skills necessary to strategize, construct, and negotiate reputed company financial reputed company structures and contract language and demonstrate successful negotiations requiring this reputed company set.