Provider Network Recruiting & Development Specialist - Network Business Development, SWHR

Education

• Bachelor's Degree in Business, Finance or a related field required.
• Bachelor’s Degree in Healthcare and/or a Clinical field highly preferred.

Experience

• Require 2 years of relevant provider contracting experience with prior demonstrated success in provider contracting with both large physician groups and ancillary providers.
• Require 3 years of experience in performing network adequacy analysis.
• Require in-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS) with at least an intermediate level of knowledge of claims processing systems and guidelines.
• Experience in physician relations, physician network/business development, physician recruitment and assimilation preferred.
• Experience and knowledge of integrated delivery network, Accountable Care Organization (ACO) and/or Value-Based Healthcare organization functions highly preferred.

Skills & Abilities

• Must be proficient in relevant computer applications such as Microsoft Office.
• Must be detail oriented.
• Must be dependable, exhibit strong initiative, and be self-motivated.
• Must possess excellent communication skills.
• Must be able to frequently problem solve, make decisions, interpret data, organize and analyze workflow, write, plan, and use simple arithmetic.
• Sales Force experience helpful.
   

Position Responsibilities

This position negotiates, re-negotiates, and executes physician, ancillary and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. The position is also designed to maintain and update provider data in various departmental systems. 

Position Functions

• Negotiate and re-negotiate high-volume, transactional-style physician and ancillary contracts. Function as the single point-of-contact for all on-going contractual and service issues as needed by providers.
• Facilitate provider education, training them in order to increase their familiarity and satisfaction with systems and strategies.
• Create trend analyses and summaries for decision-making purposes.
• Interface with market leaders to align contracting needs and business efforts.
• Set targets and priorities in order to department and company goals and objectives.

Why Southwestern Health Resources 

As a Southwestern Health Resources employee, you’ll enjoy, comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Additional perks of being an SWHR employee:

• Gain a sense of accomplishment by contributing to a teamwork environment.
• Positively impact patients’ quality of life.
• Receive excellent mentorship, comprehensive training and dedicated clinical and administrative leadership resources.
• Enjoy opportunities for growth.

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org