Offer summary

Qualifications:

Bachelor’s degree in Business Administration or related field or equivalent work experience is required., Minimum two years of experience in managed health plan industry is required., Two to three years of experience in provider relations/services or related position is required., Proficient with Microsoft Office and experience with Quickbase is a plus..

Key responsabilities:

Assist in expanding the provider network in new markets to ensure network adequacy.

Recruit health partners and manage multiple projects while collecting and analyzing data.

Produce detailed reports on recruitment efforts and track network adequacy gaps weekly.

Collaborate with internal resources to ensure projects remain on task for timely completion.

Job description

Job Summary:

The Provider Network Specialist II - Growth is responsible for assisting to expand the provider network in new markets to ensure network adequacy.

Essential Functions:

Recruit health partners in applicable markets to satisfy network adequacy requirements
Collect and load contract documents and rosters into Quickbase
Formats excel rosters according to required standards
Work with cross-functional teams to ensure that processes developed are standardized and follow established workflows
Produce detailed reports on key recruitment efforts and provide notification of issues to leadership
Manage multiple projects, collect, and analyze data and disseminate to appropriate departments as necessary
Assist in tracking network adequacy gaps on a weekly basis
Assist in the loading of providers into the databases, including auditing the loads afterwards
Track the progress of major projects in order that update reports can be produced for review
Collaborate with internal resources to ensure projects remain on task for a timely conclusion
Perform any other job duties as requested

Education and Experience:

Bachelor’s degree in Business Administration or related field or equivalent years of relevant work experience is required
Minimum two (2) years of experience in managed health plan industry is required
Two to three (2 to 3) years of experience in provider relations / services or related position is required
Two (2) years or more of project management experience is preferred
Provider contracting experience is preferred

Competencies, Knowledge and Skills:

Proficient with Microsoft Office to include Word, Excel and PowerPoint
Experience with Quickbase is a plus
Excellent written and verbal communications skills
Ability to develop, prioritize and accomplish goals
Strong interpersonal skills and high level of professionalism
Effective listening and critical thinking skills
Effective problem-solving skills with attention to detail
Ability to work independently and within a team
Excellent leadership skills
Ability to create and maintain excellent working relationships

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time
May be required to travel occasionally

Compensation Range:

$61,500.00 - $98,400.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies