Note: The job is a remote job and is open to candidates in USA. Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. The Network Development Specialist will be responsible for recruitment of vision providers to Versant Health’s networks, following up with providers during the credentialing process, and maintaining the network as required.
Responsibilities
- Recruits and contracts new vision providers and facilities into Superior Vision and Davis Vision networks according to established goals and priorities
- Takes inbound and makes outbound phone calls to vision providers who have requested information, who have been recruited or who have been nominated by members
- Negotiate fee schedules with new and existing vision providers in accordance with corporate goals and standards as required and review for completeness of application materials
- Obtain and process application materials and credentialing documents as required and review for completeness
- Assist in other projects as necessary
- Educate providers on plan designs, processes
- Build and maintain relationships with provider community
- Work with provider practices to resolve complaints, claims issues as needed
- Generate other ad hoc reports as needed
- General supervision on completed work and monitoring against established goals
- Requires daily use of considerable discretion, judgment and independent problem solving
- Work with Director of Medical Network Development identify appropriate recruitment strategies
- Have a quiet space conducive to working from home
- Other duties as assigned
Skills
- High School diploma/GED or equivalent combination of experience and education
- One (1) year of related experience
- Experience in Medical Network Development
- Proficiency in MicroSoft Office
- Preferred bachelor's degree
- Knowledge and experience in the insurance, health, or vision care industry preferred
Benefits
- Health and dental insurance
- Tuition reimbursement
- 401(k) with company match
- Pet insurance
- No-cost-to-you vision insurance for you and your qualified dependents
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