Provider Network Relations Specialist - Development

Posted 17 Days Ago
Be an Early Applicant
9 Locations
In-Office or Remote
Mid level
Artificial Intelligence • Cloud • Healthtech • Information Technology • Software • Cybersecurity
The Role
This role involves recruiting medical facilities into the provider network, maintaining relationships, negotiating pricing, and resolving complex issues while ensuring compliance with regulations.
Summary Generated by Built In
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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Job Summary:

This position is responsible for recruiting medical facilities into 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 medical facilities both CONUS and OCONUS. Strong sourcing, documentation, reporting, negotiation and problem-solving skills are essential for this position. Reports to the Provider Network Operations Manager (Development).

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.

Duties and Responsibilities:

· Professionally interacts with and recruits medical facilities and clinics in support of the company’s Occupational Health Services Business Line initiatives, with low to moderate need for direction.

· Continuously develops and communicates with a self-generated list of recruitment opportunities, via thorough research and networking within the areas of focus.

· Understands assigned geographic territory and proactively secures appropriate provider coverage.

· Builds and maintains professional relationships with facility providers and office staff. Responds timely to communications.

· Learns basic details of medical exam components and skillfully negotiates pricing on agreements and/or addendums with appropriate provider representatives within specified guidelines.

· Learns and uses knowledge of various software applications necessary to accurately set up and maintain facility information, as well as being capable of running 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 processing.

· Resolves complex issues to include running advanced reports and resolving difficult provider calls with professional ease.

· Demonstrates thorough understanding of Commercial & Government contract requirements as they apply to medical facilities/entities.

· Communicates with the Acuity Program Managers, Assistant Program Managers, and other key stakeholders to resolve issues.

· Participates with department 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 assigned.

Qualifications:

· High School Diploma and 5-6 years of experience, with 2-3 years of experience specific to medical facility recruitment.

· Ability to 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.

· Demonstrated comfort with negotiation process required.

· 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.

· Proficiency with computers 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 Qualifications:

· Bachelor’s Degree preferred.

Physical Requirements and Work Conditions:

· Work is normally performed in a typical interior/office or at-home work environment.

· Work involves sitting and standing for prolonged periods of time.

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

Top Skills

Ms Office Products
Various Software Applications
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The Company
HQ: Reston, VA
597 Employees

What We Do

Acuity International, headquartered in Reston, Virginia, provides process and technology-based critical services to global government and commercial enterprises. With expertise in a range of engineering and consulting, software solutions, medical care, occupational health, global mission, environmental remediation, and secure and complex construction management services, augmented by deep expertise in cybersecurity, artificial intelligence, and cloud solutions, Acuity International is positioned to assist its customers in their critical missions anywhere in the world with the latest technology and repeatable processes.

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