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Provider Relations-Networking-Contracting WellCare - Provider Administration & Support Careers

Network Development Recruitment Representative Job

Full Job Title: Network Development Recruitment Representative

Job Number: 1704467

Location: Tampa, FL

Date Posted: 11-28-2017

Promotes and markets the company to providers in new and expanding markets in support of market efforts to build networks. Solicits and reviews contracts for completeness and ensures supporting documentation is received based on the requirements of the provider type. Answers incoming inquiries from providers including rate and other contract requirements and negotiations.
Key Duties and Responsibilities
Identifies and targets potential new provider relationships and, based on a market-specific action plan, solicits relationships and establishes leads regarding primary care and specialty physicians as well as ancillary providers and facilities for all product lines.
Conducts market research on providers in markets to help build and support physician recruiting campaigns.
Identifies and corrects issues with provider recruitment data.
Researches and resolves issues related to provider contracts, including rates and other contract requirements.
Outreaches to providers regarding outstanding contracts and other required documentation to include credentialing.
Negotiates basic rates and contract language based on established parameters.
Reviews and processes incoming and outgoing paperwork related to network development.
Ensure new providers are loaded into the company's systems accurately
Tracks contract statuses and recruitment efforts to contribute information for status reports via Salesforce and other tools.
Evaluates GeoAccess issues and evaluates trend; makes recommendations to address them.
Escalates applicable provider issues to management as appropriate.
Supplies information that is used to generate GeoAccess reports and dashboards to track network adequacy and identify gaps.
Performs other duties as assigned.
MINIMUM QUALIFICATIONS
Education
State the minimum required for the job
Education Level
Education Details
Required/Preferred
A High School or GED
Required
A Bachelor's Degree in a related field
Preferred

Work Experience
State the minimum required for the job
Experience Level
Experience Details
Required/Preferred
2 years of experience in
customer service or entry level inside sales
Required
2 years of experience in
Experience in network development, contract operations, health plan operations or provider relations
Required

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Last Updated On: 12/9/2015