Provider Network Relations Specialist

7 days ago

Cape Canaveral, United States Comprehensive Health Services Full time
Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today To see what career opportunities we have available, explore below to find your next career

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SCOPE:

This position is responsible for recruiting providers to Acuity's worldwide provider network and acting as their primary liaison with the company. Extensive phone work is required; actively cold calling and negotiating pricing with providers on a national level. Strong documentation, interpretation, and follow-up are essential activities of this position. Interacts daily with providers' staff members and Acuity employees and managers internally. Reports to the Recruiting Manager, Provider Network Operations.

All services shall be provided in accordance with established standards, principles and ethics of the profession, applicable professional specialty organizations, and the high-quality standard for which Acuity is recognized.

COMPANY PROFILE:

Acuity supports the health and well-being of civilian and military workforce partners in austere, remote, and security challenged environments outside the continental United States. With over 40 years of experience providing a full range of medical services, Acuity medical management solutions are comprehensive, responsive, and reliable. Our unique service delivery approach, international recruiting network, and proprietary processes and systems deliver secure and compliant solutions. Through solid performances in the U.S. and its territories, and in Iraq, Afghanistan, Kosovo, and Africa, Acuity's solutions are built on a foundation of field-tested best practices. The Acuity service delivery approach includes onsite health centers, a national network of highly credentialed board certified medical staff, and medical readiness teams.

LOCATION:

This position is based in Cape Canaveral, FL. - Will consider remote .

DUTIES AND RESPONSIBILITIES:

Perform and/or provide direction and support for the following services:

  • After thorough research, professionally interacts and recruits potential medical facilities and clinics in support of the medical examination line of business through the building and maintenance of relationships with providers and office staffs, with moderate need for direction.
  • Understands and negotiates, extends, and renegotiates exam component pricing on agreements and/or addendums with appropriate provider representatives as appropriate within specified guidelines.
  • Learns and uses basic knowledge of various software applications necessary to set up and maintain facility information as well as capable of running simple reports to support recruitment efforts.
  • Collects and disseminates all Provider Service Agreement paperwork appropriately; identifies individuals for credentialing and communicates with the Credentialing Manager for further follow up.
  • Resolves complex issues that might include running advanced reports and resolve difficult provider calls with professional ease.
  • Understands assigned territory and is proactive in obtaining appropriate provider coverage.
  • Assists in basic and complex training of Recruiter 1 & 2 team members.
  • Has a thorough understanding of both Commercial & Government contract requirements and can communicate with the appropriate Program Managers to resolve issues.
  • Participates with Assistant Manager and Manager to both identify and offer potential solutions to complex issues; able to prioritize, train, and delegate special projects as directed.
  • Works as a member of a larger team to ensure the success of Acuity goals and assists in motivating team members to excel.
  • Attends meetings upon request of Director, Manager, or Assistant Manager.
  • Performs miscellaneous job-related duties as required.

OTHER REQUIREMENTS:

  • High School Diploma and 5-6 years of experience.
  • May participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. Supports marketing/sales objectives and efforts as requested.
  • Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training, and goals. Ensures safe operating conditions within the area of responsibility. Encourages co-workers to work safely. Identifies "close calls" and/or safety concerns to supervisory personnel. Maintains a clean and orderly work area.
  • Assists in active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, JCAHO, AAAHC, NRCME (DOT) and other mandated regulations/standards.
  • Demonstrated comfort with negotiation process required. Proficiency with computer and common office equipment, as well as with MS Office products required.
  • Must have excellent oral and written communication skills, strong analytical and problem-solving skills, the ability to thrive and multi-task in a dynamic, fast-paced environment; be comfortable with cold calling, and the ability to adapt to a change when needed.

PREFERRED EXPERIENCE:

  • Bachelor's Degree preferred. Prior experience with negotiating in provider agreements or subcontracts a plus.
  • Special Consideration for Local Candidates

PHYSICAL REQUIREMENTS:

  • Work is normally performed in a typical interior/office work environment. Work involves sitting and standing for prolonged periods of time. May require bending, stooping and lifting up to 15 lbs. Good eye/hand coordination required. Constant use of sight, speech, hearing, frequent keying and use of computer and common office equipment required.

Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status.

For OFCCP compliance, the taxable entity associated with this job posting is:

Acuity-CHS, LLC

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