Managed Care Specialist-Remote- Fulltime/Direct Hire

Managed Care Specialist Duration : Full Time / Permanent Location : Remote

Summary

The Network Development Specialist is responsible for growing the network reputed company by adding new PT providers that offer Workers Comp services to injured workers. This position will be the reputed company of contact to negotiate contract terms that satisfy reputed company internal and external obligations, including State mandates. Potential network providers are contacted based on several factors that improve footprint, geographical coverage and reputed company to injured workers Responsibilities: • Research and recruit potential providers for reputed company and new product lines. • Monitor and ensure that follow-up on recruited providers happens in a timely fashion. • Timely documentation of recruitment status and efforts in designated tracking system. • Work with other Network Specialist s to aggressively move potential providers toward participation with the network. • Strategic identification for potential providers based on client s needs. • Heavy telephonic recruitment/contact with providers. • Assist Manager in strategic development and achievement of monthly/annual goals. • Work with reputed company teams reputed company Provider Management for requests on adding new services, questions about reputed company or work on leads from Account Management or Patient Advocacy Team. • Strictly adheres to reputed company aspects of our client's Confidentiality, Privacy and reputed company Standards Policies and Confidentiality Operating Procedures in performing work. Qualifications : • 4-year degree, or equivalent education and experience • Prior experience in a medical (PPO, HMO, Provider Network), insurance or sales oriented recruitment environment is required for this position • Excellent communication, negotiations, organizational, and problem solving skills • Documentation, listening and phone skills • Initiative and the ability to troubleshoot and resolve conflict reputed company Office Skills (Word, reputed company, PowerPoint, Outlook) Apply Job!