Provider Network Senior Specialist at VillageMD

| Houston, TX
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Join VillageMD as a  Provider Network Senior Specialist in Houston, TX

Join the frontlines of today's healthcare transformation

Why VillageMD?

At VillageMD, we're looking for a Provider Network Senior Specialist to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

Integral to our Payor Contracting team, the Provider Network Senior Specialist will leverage strong relationship skills to develop VillageMD’s referral network (physicians, hospitals, pharmacies, ancillary groups and other facilities, etc.) yielding a high functioning network that supports value-based contract objectives. This role is based in Houston and will work in close collaboration with the team to build out a city-wide specialist network. Additionally, this person will establish and maintain strong business relationships with health plans and network providers to ensure the network composition includes an appropriate distribution of provider specialties.

How you can make a difference

  • Maintain positive relationships with current and potential providers and their office staff
  • Understands and negotiates/renegotiates provider contracts and/or amendments with appropriate provider representatives as appropriate within specified guidelines and thresholds
  • 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 network provider contracts appropriately; identifies individuals for credentialing and communicates with internal customers in a timely manner
  • Has a thorough understanding of Commercial contract requirements and can communicate with the appropriate staff to resolve potential issues.
  • Participates with Network Manager to identify potential cost savings through strategic payment arrangements with potential providers and offer potential solutions to complex issues; able to prioritize, train, and delegate special projects as directed.
  • Attends meetings upon request of Network Manager or other leadership
  • 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 miscellaneous job-related duties as required, and is able to provide clarity on how competing priorities may impact delivery.

Skills for success

  • Ability to be proactive with strong personal initiative as well as highly organized and detail oriented
  • Desire to assist out-of-network recruitment and support other geographic areas as needed
  • Openness to providing explanations and information to others on difficult issues
  • Ability to navigate within ambiguity, a service orientation, and a high level of humility are vital for successful assimilation into our highly collaborative, entrepreneurial culture
  • Excellent verbal and written communication skills; ability to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standards
  • Strong interpersonal skills, establishing rapport and working well with others
  • Good analytical, organizational and planning skills.
  • Ability to take initiative and work independently.
  • Ability to meet deadlines and work well under pressure.

 Experience to drive change

  • Bachelor’s degree or 4 years’ experience in a managed care environment.
  • 2-3 years’ experience in commercial healthcare provider contracting
  • Knowledge of health care contracts, applications, and products.
  • Good understanding of Provider Networks in the healthcare industry or Practitioner-level of Provider Networks
  • Above-average proficiency of Microsoft applications to include Word, Excel, PowerPoint and healthcare databases.
  • Ability to take initiative and work independently.
  • Ability to meet deadlines and work well under pressure.

How you will thrive

In addition to competitive salaries, a 401k program with company match, bonus and a valuable health benefits package, VillageMD offers paid parental leave, pre-tax savings on commuter expenses, and generous paid time off. You work in a highly-collaborative, conscientious, forward-thinking environment that welcomes your experience and enables you to make a significant impact from Day 1.

Most importantly, you make a difference. You see a clear connection between your daily work on VillageMD products and services and the advancement of innovative solutions and improved quality of healthcare for providers and patients.

Our unique VillageMD culture – how inclusion and diversity make the difference

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Those seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

Explore your future with VillageMD today.

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Technology we use

  • Engineering
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • RLanguages
    • SqlLanguages
    • SwiftLanguages
    • ReactLibraries
    • FlaskFrameworks
    • Node.jsFrameworks
    • Microsoft SQL ServerDatabases
    • Neo4jDatabases
    • PostgreSQLDatabases
    • RedisDatabases
    • TeradataDatabases

An Insider's view of VillageMD

What's the biggest problem your team is solving?

Aggregating disparate sets into one consumable interface is difficult. We constantly think about how to solve it faster and better while keeping it flexible and scalable.

Mario

Principal Software Engineer

What makes someone successful on your team?

It’s an individual’s willingness to get into the details, fully understand the current path to delivery, and think critically about the problems that face providers today that will make them successful at VillageMD.

Dave

Director, Product Development

What’s the vibe like in the office?

The office vibe is centered on holding our work to high standards while maintaining an environment focused on fun and collaboration. My coworkers and I will often be working on completely unrelated projects, but when we hit a roadblock we step back and ask each other for feedback and help. That’s usually when we find the best solutions.

Emily

Healthcare Informatics Analyst

What are VillageMD Perks + Benefits

VillageMD Benefits Overview

We offer competitive bonus, great benefits, generous PTO, strong parental leave policy, and 401k with a match. We are conveniently located near Metra and L trains, and offer commuter benefits. We offer schedule flexibility and work from home options. And, last but certainly not least: loads of snacks and fresh ground whole bean coffee!

Culture
Volunteer in local community
Partners with Nonprofits
Eat lunch together
Intracompany committees
Daily sync
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Dedicated Diversity/Inclusion Staff
Highly diverse management team
Unconscious bias training
Diversity manifesto
Mean gender pay gap below 10%
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Onsite Gym
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Volunteer Time
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Company Outings
Stocked Kitchen
Happy Hours
Recreational Clubs
Relocation Assistance
Professional Development Benefits
Job Training & Conferences
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Customized development tracks
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