-
Business Development Manager
1 week ago
Emerson Lake Charles, United StatesAre you an experienced **Business Development professional** looking for an opportunity to grow? If so, Emerson has an exciting opportunity for you This position can be based in **Baton Rouge, LA, Lake Charles, LA, or Beaumont, TX** . In this position, you will be responsible for ...
-
Network Development Manager
3 weeks ago
Equality Health Lake Charles, United StatesEquality Health is an Arizona-based population healthcare company focused on improving care delivery for underserved populations through culturally-sensitive programs that improve access, quality, and patient trust. Our mission is to ensure diverse populations receive quality hea ...
-
Business Development Manager
2 weeks ago
Moxey Lake Charles, United StatesOverview: · **Local business owners have their own private economy.** More than 3,000 local business owners in Louisiana, Mississippi, Tenessee and Alabama rely on Moxey to help them get new customers, save cash and grow their companies. · We are looking for smart, talented, and ...
-
Implementation Business Development Manager
1 week ago
Altice USA Lake Charles, United StatesImplementation Business Development Manager · Location: · Lake Charles, LA, US, 70601 · Brand: Optimum · Requisition #: 4984 · Are you looking to Optimize your life? Start your exciting path to a rewarding career today · We are Optimum, a leader in the fast-paced world of connect ...
-
Retention Business Development Manager
4 weeks ago
Altice USA Lake Charles, United StatesAre you looking to Optimize your life? Start your exciting path to a rewarding career today · We are Optimum, a leader in the fast-paced world of connectivity, and we're on the hunt for enthusiastic professionals to join our team We understand that connectivity isn't just a luxu ...
-
Actuary
1 week ago
Infinity Systems Lake Charles, United StatesJob Offer Details: · Position: (Senior) Actuary · Location: Hamburg · Salary: € per year · Employment: Permanent and full-time · My client, an innovator in the field of financial and insurance solutions, is looking for an experienced actuary for their Hamburg location. · You can ...
-
Business Development Manager
1 week ago
BIC Recruiting Sulphur, United StatesJob Description · Job DescriptionCOMPANY OVERVIEW: World's premier industrial heat treatment service provider. · POSITION TITLE: Business Development Manager · COMPENSATION: Competitive Salary + DOE · BENEFITS: Standard package · LOCATION: Beaumont, Texas · SUMMARY: Our client's ...
-
Registered Nurse, Acute MedSurgical B
3 days ago
CHRISTUS Health Lake Charles, United States Part timeSummary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abi ...
-
RN, Registered Nurse, IMC Cardiac
3 days ago
CHRISTUS Health Lake Charles, United States Full timeSummary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abi ...
-
CHRISTUS Health Lake Charles, United States PRNSummary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abi ...
-
RN, Registered Nurse, Acute Psych Adult
3 days ago
CHRISTUS Health Lake Charles, United States Full timeSummary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abi ...
-
Registered Nurse, Nursing Float Pool
3 days ago
CHRISTUS Health Lake Charles, United States Full timeSummary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abi ...
-
Registered Nurse, Radiology Interventional
3 days ago
CHRISTUS Health Lake Charles, United States Full timeSummary: · Position supports the patient care mission of the Interventional Radiology Lab and supports staff flexibility goals by working as part of a clinical team and through effective cross-training. The individual in this position is qualified to provide high quality/acuity n ...
-
RN, Registered Nurse, IMC Cardiac
3 days ago
Christus Health Careers Lake Charles, United States Permanent, Full time· Summary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ...
-
CHRISTUS Health Lake Charles, United StatesSummary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abi ...
-
RN, Registered Nurse, Acute Psych Adult
3 days ago
Christus Health Careers Lake Charles, United States Permanent, Full time· Summary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ...
-
RN Home Health Full Time
1 week ago
CenterWell Home Health Lake Charles, United States Full timeBecome a part of our caring community and help us put health first · As a Home Health Registered Nurse, you will: · Provide admission, case management, and follow-up skilled nursing visits for home health patients. · Administer on-going care and case management for each patient, ...
-
Planning Manager
4 weeks ago
Calcasieu Parish Police Jury Lake Charles, United StatesCalcasieu Parish Police Jury (CPPJ) is the government agency supporting the needs of constituents of Calcasieu Parish, Louisiana, with a mission to provide high-quality services and actions that benefit present and future generations throughout Southwest Louisiana. The CPPJ seeks ...
-
RN, Registered Nurse, IMC Cardiac
2 weeks ago
CHRISTUS Health Lake Charles, United States Full timeSummary:The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abilit ...
-
RN, Registered Nurse, Acute Psych Adult
2 weeks ago
CHRISTUS Health Lake Charles, United States Full timeSummary:The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abilit ...
Network Development Manager - Lake Charles, United States - Equality Health
Description
Network Development Manager - Careers At Equality HealthShare with friends or Subscribe
Back To Openings
Network Development Manager
Department:
Market Administration
Location:
Lake Charles, LA
START YOUR APPLICATION
Equality Health is an Arizona-based population healthcare company focused on improving care delivery for underserved populations through culturally-sensitive programs that improve access, quality, and patient trust.
We have developed our product portfolio around centralized technology, services and network designs intended to organize a better healthcare delivery system for cultures that have struggled with integrating into the tradition one-size-fits-all U.S.
healthcare system.Position Summary:
The Network Development Manager (NDM) serves as the primary source of network recruitment and development for assigned territories, which may change from time-to-time with targeted providers in an assigned territory.
The NDM coordinates with in-market Network Development staff to initiate conversations to introduce Equality Health Network and to develop communications, with the objective to secure participation agreements in accordance with company policies and procedures.
The NDM plays a critical role in increasing Equality Health's brand with providers by identifying, researching, vetting and developing an assessment of the provider and the overall business landscape, appropriately identifying providers that align with EHN.
This individual also supports provider network growth strategies and provider network development in all markets.Responsibilities:
Support activities to achieve the overall strategy and objectives of the Network Development department
Responsible for provider recruitment, provider relations, and provider liaison functions
Oversee the contracting process for the participation agreement in assigned territories
Responsible for accurate provider database management and regular updates to CRM
Ensure the collection of all contracting and credentialing information from providers
Identify and research resources for developing specialist and primary care provider leads for new business areas and gaps in provider specialties
Utilize various Internet resources and websites for hospitals, provider health systems, managed care plans, WebMD, HealthGrades, and related government systems
Responsible for creating new leads in the CRM and maintaining the CRM record until transferred to the assigned Practice Performance Representative
Conduct initial outreach and telephone communication which identify provider interest and qualifies them for contracting
Cultivate a deep understanding of market conditions to determine if practices belong to larger systems that contract as single entities
Maintain current knowledge of geographic market differences which may influence how the provider is contracted
Analyze complex variables and decide on most appropriate contracting process
Collaborate with other departments to remove barriers impeding contract negotiations
Manage the contract implementation process; identify opportunities for process improvement; address and facilitate problem resolution
Travel up to 10%; occasional overnight stays
Required Knowledge, Education & Experience:
Bachelor's degree in Business, Healthcare Administration or a related field of study; or, an equivalent combination of education and/or experience
Minimum two (2) years of experience in healthcare network development or a related position
Minimum one (1) year of experience with provider research and market analysis
Demonstrated understanding of risk and value-based contracting
Proficiency with MS Office applications and web-based technologies
Demonstrated provider relations skills
Highly Preferred Skills, Abilities & Qualifications:
Familiar with payment alternatives such as fee for service, capitation, global budget, performance compensation and episode of care payment
Familiar with patient and practice risk adjustment mechanics and premium-based payment methodologies
Familiar with patient and practice risk adjustment mechanics, APR; HCC/RAF
Familiar with conventional payment methodologies (CMS-RBRVS)
Experience with database management in a healthcare setting
Demonstrated ability to gain acceptance and compliance from provider and staff and achieve a mutually beneficial outcome
Excellent problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Excellent verbal, written and interpersonal communication skills
Able to convey complex or technical information in a manner that others can understand, and able to understand and interpret complex information from others
Equality Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and trainingSTART YOUR APPLICATION
Applicant Tracking System Powered by
#J-18808-Ljbffr