Senior Specialist, Provider Network Recruitment

This is a fully remote position, open to applicants in Alabama, +16 more states.

📋 Description

• Leverage demographic information of existing out-of-network providers to develop recruitment lists aimed at enhancing network adequacy by geography, specialty, or member demographics.

• Assist in the preparation, evaluation, and execution of provider contracts and Letters of Agreement.

• Collaborate with the Provider Recruitment team to respond to provider inquiries, address concerns, and handle data-related contracting questions.

• Manage the “Request to Join” process and oversee the “Join Our Network” mailbox.

• Create reports and summaries regarding updates in provider contract data and network status.

• Work with various departments to gather provider contract data for enterprise data systems, including system configurations, provider directories, and credentialing processes.

• Ensure the maintenance and verification of provider contracting data in the network database.

• Assist with special projects to guarantee the completeness and accuracy of the provider contracting database.

• Provide administrative support, which includes screening and researching incoming provider requests.

• Engage in process improvement initiatives.

• Execute other assigned duties.

⛳️ Requirements

• An associate's degree or a minimum of 2 years of relevant experience.

• At least 2 years of experience in healthcare contract coordination, provider relations, or a similar capacity within a managed care setting.

• A minimum of 1 year of experience using Microsoft Office or Google Suites, with a strong proficiency in Excel/Sheets.

• Over 1 year of experience in prioritizing and managing projects across different functions.

• Candidates must be residents of Alabama, Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia.

• Adherence to all applicable laws and regulations is required.

🏝️ Benefits

• Comprehensive employee benefits.

• Unlimited vacation program.

• Annual performance bonuses.

• Medical, dental, and vision coverage.

• 11 paid holidays.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life and disability insurance.

• Paid wellness time and reimbursements.

• Occasional travel for team meetings and company events.