Network Development Specialist

Cambridge MA 02141 58 Charles Street

Job Description

THIS IS NOT A REMOTE POSITION. ALL CANDIDATES MUST BE LOCAL TO CAMBRIDGE, MA
Responsible for soliciting the participation of practitioners, facilities and other behavioral health service providers to establish networks that support adequacy requirements. Serves as a communication link between prospective providers and the organization. Provides input on strategic plan for the development of the network, and conducts focused recruitment activities. Coordinates with Network Development and Management and Network Project Managers to ensure quality and accurate recruitment of providers in support of expansion and sales opportunities.

Essential Functions


- Recruits providers in expansion areas by conducting outbound calls and mailings to potential providers.
- Ensures completed provider credentialing material is loaded into the online document management tool and processed in a timely manner.
- Maintains recruitment tracker updates, ensuring accurate reporting of the network build progress.
- Assists Project Managers with the identification of available providers and analysis of available provider data.
- Negotiates new provider contracts and rates.
- Participates in recruitment blitzes as needed for assured network growth.

General Job Information

Title

Network Development Specialist

Grade

22

Job Family

Operations Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

2/26/2019

Date Requisition Created

2/26/2019

Work Experience

Network

Education

Bachelors

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Minimum 3 years network management experience with managed care knowledge of provider networks, information systems, and/or clinical services.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.