Network Development Manager (Roanoke, VA)
Company: Equality Health
Location: Roanoke
Posted on: April 26, 2024
Job Description:
Position Summary:
Equality Health is an Arizona-based population healthcare company
focused on improving care delivery for underserved populations
through culturally-sensitive programs that improve access, quality,
and patient trust. Our mission is to ensure diverse populations
receive quality healthcare that improves and enriches their lives.
We have developed our product portfolio around centralized
technology, services and network designs intended to organize a
better healthcare delivery system for cultures that have struggled
with integrating into the tradition one-size-fits-all U.S.
healthcare system.
The Network Development Manager (NDM) serves as the primary source
of network recruitment and development for assigned territories,
which may change from time-to-time with targeted providers in an
assigned territory. The NDM coordinates with in-market Network
Development staff to initiate conversations with providers in their
territory to introduce the Equality Health Network, and drive
understanding of capabilities and benefits, with the objective to
secure participation and signed agreements in accordance with
company policies and procedures..
The NDM plays a critical role in increasing Equality Health's brand
with providers by identifying, researching, vetting and developing
an assessment of the provider and the overall business landscape,
appropriately identifying providers that align with EHN. This
individual manages and executes new sales/service contracts for a
particular market and supports provider network growth strategies
and provider network development in all markets.
*Only considering candidates that reside in/near Roanoke, VA*
Responsibilities:
- Support activities to achieve the overall strategy and
objectives of the Network Development department, promoting
Equality Health Network integration conversations with potential
provider groups
- Manages network by developing and maintaining relationships to
drive business results within a specific geographic area
- Responsible for provider recruitment, provider relations, and
provider liaison functions
- Oversees the contracting process for the participation
agreement in assigned territories
- Responsible for accurate provider database management and
regular updates to CRM
- Ensure the collection of all contracting and credentialing
information from providers
- Identify and research resources for developing specialist and
primary care provider leads for new business areas and gaps in
provider specialties
- Utilize various Internet resources and websites for hospitals,
provider health systems, managed care plans, WebMD, HealthGrades,
and related government systems
- Responsible for creating new leads in the CRM and maintaining
the CRM record until transferred to the assigned Practice
Performance Representative
- Conduct initial outreach and telephone communication which
identify provider interest and qualifies them for contracting
- Cultivate a deep understanding of market conditions to
determine if practices belong to larger systems that contract as
single entities
- Maintain current knowledge of geographic market differences
which may influence how the provider is contracted
- Analyze complex variables and decide on most appropriate
contracting process
- Collaborate with other departments to remove barriers impeding
contract negotiations
- Manage the contract implementation process; identify
opportunities for process improvement; address and facilitate
problem resolution
- Travel on average 30%; occasional overnight stays Required
Knowledge, Education & Experience:
- Bachelor's degree in Business, Healthcare Administration or a
related field of study; or, an equivalent combination of education
and/or experience
- Minimum two (2) years of experience in healthcare network
development or a related position
- Minimum one (1) year of experience with sales initiatives,
provider research and market analysis
- Demonstrated understanding of risk and value-based
contracting
- Proficiency with MS Office applications and web-based
technologies
- Demonstrated provider relations skills Highly Preferred Skills,
Abilities & Qualifications:
- Familiar with payment alternatives such as fee for service,
capitation, global budget, performance compensation and episode of
care payment
- Familiar with patient and practice risk adjustment mechanics
and premium-based payment methodologies
- Familiar with patient and practice risk adjustment mechanics,
APR; HCC/RAF
- Familiar with conventional payment methodologies
(CMS-RBRVS)
- Experience with database management in a healthcare
setting
- Demonstrated ability to gain acceptance and compliance from
provider and staff and achieve a mutually beneficial outcome
- Excellent problem-solving skills, including the ability to
systematically analyze problems, draw relevant conclusions and
devise appropriate courses of action
- Excellent verbal, written and interpersonal communication
skills
- Able to convey complex or technical information in a manner
that others can understand, and able to understand and interpret
complex information from others
Equality Health provides equal employment opportunities to all
employees and applicants for employment and prohibits
discrimination and harassment of any type without regard to race,
color, religion, age, sex, national origin, disability status,
genetics, protected veteran status, sexual orientation, gender
identity or expression, or any other characteristic protected by
federal, state or local laws.
This policy applies to all terms and conditions of employment,
including recruiting, hiring, placement, promotion, termination,
layoff, recall, transfer, leaves of absence, compensation and
training
Keywords: Equality Health, Roanoke , Network Development Manager (Roanoke, VA), Executive , Roanoke, Virginia
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