SKYGEN logo
SKYGEN

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

QA EngineerQA EngineerFull TimeRemoteMid LevelTeam 501-1,000

Location

United States

Posted

2 days ago

Salary

$20 - $30 / hour

Seniority

Mid Level

Job Description

Network Development Specialist I

SKYGEN

Role Description This is a permanently remote position. Full-time, Monday through Friday during daytime hours. Utilize effective techniques to identify prospects and recruit providers to ensure contractual requirements are met. - 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 and providing education about our practices and reimbursement levels - Conduct negotiations with providers to build and maintain a provider network - Conduct negotiations with key providers including large groups and dental schools with assistance - Develop and maintain provider relationships by interacting directly with the provider and serving as the main point of contact for the provider throughout the contracting process - 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 in order to effectively explain its functionality to providers - Perform outreach calls in assist in resolution of resolve 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 Benefits - Compensation Range: $20.32 - $30.48/hr - Compensation Midpoint: $25.40/hr Company Description 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.

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