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SKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.
Network Development Specialist I
Location
United States
Posted
99 days ago
Salary
0
No structured requirement data.
Job Description
Network Development Specialist I
SKYGEN
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves recruiting providers and ensuring contractual requirements are met. - Utilize effective techniques to identify prospects and recruit providers - Run and create geographic access reports with assistance - Perform market analysis on new markets including identifying key providers needed to service members with assistance - Develop and maintain complete understanding of contract and network requirements - Ability to navigate proprietary software applications - Perform prospecting calls to new and existing providers to discuss the benefits of joining our networks - Conduct negotiations with providers to build and maintain a provider network - Develop and maintain provider relationships by interacting directly with the provider - Ensure provider compliance with contracting process - Utilize relationships with existing providers to generate referrals to additional providers in the network - Identify network access and deficiencies and develop recruitment and contracting strategies - Maintain understanding of the web portal to effectively explain its functionality to providers - Perform outreach calls to assist in resolution of specific access to care issues for members Qualifications - Bachelor’s Degree in business or related field or equivalent years of experience - 1 year of experience relating to provider relations, contracting, or sales/negotiation - Knowledge of Microsoft programs (Word, Excel, and Outlook) - Detail oriented - Excellent oral and written communication skills - Ability to successfully meet timelines for project plans - Ability to build relationships effectively over the phone Requirements - Knowledge of contract terminology - Understanding of reimbursement methods - Knowledge of dental, medical, physical therapy and vision products and terminology Compensation - Compensation Range: $20.32 - $30.48/hr - Compensation Midpoint: $25.40/hr
Job Requirements
- Bachelor’s Degree in business or related field or equivalent years of experience
- 1 year of experience relating to provider relations, contracting, or sales/negotiation
- Knowledge of Microsoft programs (Word, Excel, and Outlook)
- Detail oriented
- Excellent oral and written communication skills
- Ability to successfully meet timelines for project plans
- Ability to build relationships effectively over the phone
- Knowledge of contract terminology
- Understanding of reimbursement methods
- Knowledge of dental, medical, physical therapy and vision products and terminology
- Compensation
- Compensation Range: $20.32 - $30.48/hr
- Compensation Midpoint: $25.40/hr
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NTT DATANTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. Our consulting and industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.
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