Sr. Network Development Representative

What does PHCS offer you?
Opportunity. Recognition. Satisfaction

You've worked hard to get where you are, but you're ready for bigger opportunities that expand your skills and enrich your career. At Private Healthcare Systems, you'll have them. As the national leader in health care cost management with a growing national customer base, we have been building a strong and stable organization for over 21 years. We work together to exceed customer expectations and take everything we do to the highest standards of which we are capable. That means always learning, always seeking challenge, always respecting one another, and always putting forth our best effort. We are proud of what we are building at PHCS, and proud of what we offer. If you join our team, you will be too.

PURPOSE OF POSITION:

To work independently or as part of a team in the recruitment of any of the following categories of healthcare providers: physicians, ancillaries and hospitals; negotiates competitive contracts; works on contracts that have moderate to high levels of complexity, impact and difficulty.

ESSENTIAL FUNCTIONS (Include in order of importance)

PROJECT MANAGEMENT ACTIVITIES:

Develop project plans and goals for projects within assigned scope.

Monitor and generate status reports on network development activities for assigned projects.

Collaborate with Territory Director on network development and contracting activities.

May mentor other junior members of the network development staff.

PROVIDER RECRUITMENT ACTIVITIES:

Recruit targeted physician groups, ancillary providers and hospitals to PHCS networks.

Develop negotiation strategy and conduct negotiations with specified providers.

Develop models for negotiations and what-if scenarios by using contract support system.

Respond to complex provider inquiries regarding PHCS, contract issues and administration, and reimbursement to facilitate recruitment activities.

Complete competitive assessment of markets and assist in development of network recruiting goals.

Develop recommendations on pricing, access, and other network features.

Coordinate the approval process of non-standard reimbursement arrangements.

Assist with the process for contract execution implementation.

Ensure that all provider contracts are produced in accordance with PHCS and Shareholder standards.

Develop positive relationships with providers, hospitals, and insurance carrier representatives. Respond rapidly and appropriately to issues that arise.

Assist carriers in pre-sale and post-sale education of employer groups, brokers or consultants.

Actively seek opinion of PHCS payors with regard to the composition and quality of PHCS networks. Propose appropriate revisions to current projects or future business plans.

Ensure that corporate legal files are maintained for specific contracted providers.

An Equal Opportunity Employer M/F/D/V

QUALIFICATIONS (experience/education/knowledge):
Required:

Bachelors Degree.

Typically, 4 years minimum successful experience in network development including contracting experience with a combination of physicians, physician groups, hospitals, and ancillaries.

Proven ability to negotiate discounted contracts with providers

Strong organization, analytic and presentation skills

Proficiency with PC applications

RESPOND HERE! Respond immediately by accessing the following
dedicated online response form which will allow you to cut and paste your
resume. This form will go directly and immediately to the
hiring authority for this position. Access the online response form at: