Sr. Provider Network Development Specialist

4 weeks ago

Windsor, United States Southern New England Healthcare Full time
Job DescriptionJob Description

The Provider Network Development Specialist reports to the Director of Network Management with accountability for recruiting providers to join SoNE Health’s participating provider network.

The Provider Network Development Specialist initiates, negotiates and executes participating provider agreements for SoNE.

Job Responsibilities

The Provider Network Development Specialist will have the following responsibilities:

  • Develop set of goals (to be defined based on network need) and objectives for provider recruitment in key geographic markets identified by SoNE.
  • Maintain a comprehensive list of provider network targets for outreach and leads that will drive success and market penetration. Provide regular updates, respond to inquiries, and address all t concerns in a timely manner.
  • Document and memorialize outreach efforts as well as contacts, provide status changes and new developments at team meetings.
  • Conduct market analysis and evaluate competitor’s practice and market status.
  • Develop strategies to be the preferred provider in the market vs. the competition.
  • Maintain complete organizational knowledge and product and services familiarity.
  • Add value by conveying useful industry, government and practice innovation trends and initiatives.
  • Assure Provider satisfaction.
  • Meet or exceed individual target goals and departmental objectives.


General Duties

The Sr. Provider Network Development Specialist shall have the following duties:

  • Leadership: Lead in defining and executing strategies and solutions to create business value in assigned area, including identifying and collaborating with key team members to design, develop, and execute those strategies and solutions to deliver desired outcomes.
  • Strategy: Active participant in establishing the recruitment strategy and roadmap.
  • Collaboration: Ensure that the provider recruitment strategy is aligned with company objectives by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the recruitment objectives
  • Knowledge: Provide subject matter expertise on market landscape and intel, including determining and recommended approaches for provider outreach, engagement, relationship management, information sharing, overcoming roadblocks and closing contractual arrangements.
  • Culture: Is accountable for creating a productive, collaborative, safe and inclusive work environment for the Provider Network team

Qualifications

The Provider Network Development Specialist should have the following qualifications:

  • Education. Bachelor’s degree in business administration or another related field.
  • Experience. Minimum of 5 years’ experience in managed care or other health care related network development position(s) with direct accountability for provider recruitment and contracting. Appreciation for details with ability to read and understand provider reimbursement methodologies and contracts. Experience with Value Based Contracting. Experience within an Accountable Care Organization, Managed Care Organization or Health Plan preferred.
  • Communication. Excellent written and verbal communications skills. Experience giving detailed reports and presentations. Competency using computer software to facilitate presentations and reporting. Excellent planning, organizational, and time management skills.
  • Relationships. Ability to build and effectively manage relationships with business leaders and external constituents as well as internal stake holders and team members.
  • Culture. Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company.

PHYSICAL AND MENTAL REQUIREMENTS:

The Physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Ability to work long hours – over eight in a workday, and over 40 in a work week as necessary.
  • Regularly required to use hands to finger, handle or feel objects, tools, or controls; reach with hands and arms; and talk or hear.
  • Frequently is required to walk and sit.
  • Occasionally required to stand; climb or balance; and stoop, kneel, crouch or crawl.
  • Ability to lift and/or move up to 20 pounds.
  • Vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus.
  • The dexterity necessary to utilize a computer keyboard on a regular basis is essential.

ADDITIONAL REQUIREMENTS:

  • As a condition of employment at SoNE HEALTH, all employees must reside in New Hampshire, Rhode Island, Maine, Vermont, Connecticut, or Massachusetts.
  • For the safety and well-being of our employees, all employees are required to be fully vaccinated for influenza.
  • If you will be working in a remote or hybrid capacity, we require a stable internet connection. We recommend that you have an internet service provider with speeds of at least 30Mbps download/5Mbps upload.

Adherence to SoNE Code of Conduct:

Code of Conduct: Employee will understand and follow the guidelines and standards outlined in the SoNE HEALTH Code of Conduct and demonstrate an understanding of the SoNE HEALTH Mission, Vision and Core Values.

Policies and Procedures: Employee will comply with all SoNE HEALTH policies and procedures relevant to their role, including those related to compliance, safety and confidentiality.

Regulatory Requirements: Employee will ensure actions and behaviors are in accordance with applicable laws, regulations, professional standards, policies, procedures and the Code of Conduct.

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