Responsible for increasing in-network claims and network revenue through effective contracting and management of contracted Providers within CorVel’s proprietary networks. This individual must combine strong interpersonal and negotiation skills with resourcefulness and aptitude in the medical provider market.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Identify, initiate, follow-up, negotiate, and finalize effective contracts and renegotiation efforts with providers
- Work jointly with District Manager (or above) and management team to set targets based on client needs and strategic direction for your market, utilizing and accurately interpreting all appropriate analytical data in determining the validity of provider participation/nomination
- Build relationships and interact with providers and share CorVel’s value and differentiators through community involvement, onsite meetings, mailings and other marketing efforts
- Become a state expert of local compensation rules and regulations relating to the ability to channel patients, reimbursement schedules, PPO reduction limitations, etc.
- Arrange face to face meetings with CorVel management team and top prospects
- Collaborate with respective National Developer on major hospital/heath system targets
- Interface with National Database (NDB) Team to add new contracts to the CorVel database
- Assure appropriate changes/additions/deletions to the CorVel Networks are made by NDB. Responsible to ensure accuracy and timeliness for updated provider information
- Screen incoming provider applications and agreements for completeness and, when appropriate follow-up with letters and/or telephone calls to obtain incomplete or missing information
- Research network problems and initiate resolution; promote strong customer service
- Interact with CorVel clients in providing panel development, stewardship meetings, etc.
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- Strong interpersonal skills and adaptive communication style, complex problem solving skills, drive for results and innovation
- Proven track record of delivering concrete results in negotiations
- Excellent written and verbal communication skills
- Superb attention to detail and ability to deliver results in a fast paced and dynamic environment
- Proficient in Microsoft applications and presentation software
EDUCATION & EXPERIENCE:
- Undergraduate Bachelor of Arts or Sciences degree, liberal arts or business
- Demonstrated success in provider recruitment
- Two years of sales and/or negotiating experience
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $59,681 - $96,123
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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What We Do
CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded and annual revenues exceeded $595 million in FY2019. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve customers through a national branch office network covering all 50 states.
