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Department: CLHC-CENTERLIGHT HEALTHCARE
Schedule: Full Time
Shift: Day
Hours: 09:00am to 05:00pm - 0900A0500P
Job Details:
  • JOB PURPOSE:     Recruits, negotiates contracts, and serves as a liaison with key targeted physicians and their office staff to build and maintain a comprehensive marketable network.

     

    JOB RESPONSIBILITIES:

    ·         Responsible for the development and contracting/negotiating with physicians by mail, telephone, and in-person communication

    ·         Evaluates and assesses potential providers.

    ·         Research information on site specific marketplace to include competitive analysis, demographic study and creation of provider profiles.

    ·         Achieves call reach and frequency goals to establish consistent and strong professional relationships with providers and their staff.

     

    ·         Manages assigned territory and maintain a liaison position between targeted providers and CenterLight Healthcare, through personal contact with providers as well as business managers and office personnel.

     

    ·         Ongoing analysis of assigned network for network gaps and adequacy.  Identification and recruitment of providers to fill network gaps or needs.  Network reporting to senior management to ensure regulatory requirements are being met. 

     

    ·         Strategize for membership growth and retention in conjunction with Membership Development to conduct marketing initiatives as well as foster professional relations between marketing staff and network of providers to achieve CenterLight Healthcare membership growth goals.

     

    ·         Produce recruitment materials and presentations including competitive fee information and market intelligence

    ·         Attends and participates in department staff meetings.  Special projects as assigned or directed.

    QUALIFICATIONS:

    Education:                                       BA/BS degree preferred or equivalent experience

    Experience:                                     A minimum of  three years’ (3) experience in Medicaid/Medicare, HMO is preferred.

    Physical:                          

    License Registration:                    None

       Other: This position requires excellent communication skills, both oral and written.  Experience in Network Development and recruitment is essential.

     

     

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