Job Category
Healthcare
Job Type
Professional
Employment Type
Direct Hire
Work Hours
Full-time
Compensation
$60,000 − $65,000per year
This job was last updated on
Job Title: Network Development Specialist
Job Summary:
A healthcare organization in Birmingham, AL is seeking a detail-oriented and proactive Network Development Specialist to join their Provider Relations team. This role is responsible for developing and expanding the PPO network, conducting provider rate negotiations, assisting with orientations, and supporting clinical and business divisions. The ideal candidate will have experience in managed care or PPO environments, strong communication skills, and the ability to work independently and collaboratively.
Principal Duties & Responsibilities
Here’s What Your Day-to-Day Looks Like:
- Develop, expand, and maintain PPO network, including identifying new providers, soliciting participation, and negotiating rates.
- Coordinate rate negotiations with leadership and adhere to established fee schedules.
- Conduct provider orientations and training sessions, both individually and regionally.
- Serve as liaison with treatment providers, clients, and patients, resolving issues promptly.
- Assist Clinical, Accounting, and Marketing Divisions with provider connections and support for client contracts.
- Maintain and recommend updates to corporate, departmental, and quality assurance policies and procedures.
- Participate in marketing, research, and public relations efforts related to provider relations and network development.
- Prepare reports, track provider rates, and provide recommendations on network enhancements.
- Perform other related duties and attend meetings as requested.
Schedule & Pay
- Monday – Friday, 8:00 AM – 5:00 PM
- Salary: $62,010 – $64,515 annually
- Annual incentive based on experience and performance
- On-site
Here’s What Makes YOU a Great Fit:
- Bachelor’s degree in a related field
- 3+ years of provider relations experience, preferably in PPO/HMO or managed care settings
- Familiarity with mental health services, case management, and utilization review
- Experience with rate negotiations, fiscal issues, and contractual terms
- Strong verbal and written communication, organization, and problem-solving skills
- Comfortable performing extensive telephone work and giving group presentations
- Professional appearance, cooperative attitude, assertive, goal-oriented, and self-starter
- Alabama driver’s license and dependable transportation, with ability to travel as needed
- Experience with PC applications (Word, Access, Internet)
Job Location:
Birmingham, AL
APPLY TODAY!
What Makes Express Employment Professionals Different?
Express Employment Professionals – Birmingham is a local employment agency that has been helping people find great jobs since 2006. We focus on helping people find long-term positions at some of the best companies in the area. Every week we are actively working with 150+ companies in the Birmingham and surrounding areas.
Immediate Benefits of working with Express:
- Weekly Pay
- Medical, Dental, Vision, Short-Term Disability, and Life Insurance
- 401(K) Savings Plan
- Holiday Pay
- Referral Bonuses
- Employee Assistance Program (counseling & expert advice in many stressful areas)
- Free Online Training
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Company Website
Company Size
251-1000