- Support activities to achieve the overall strategy and objectives of the Network Development department, promoting Equality Health Network integration conversations with potential provider groups
- Manages network by developing and maintaining relationships to drive business results within a specific geographic area
- Responsible for provider recruitment, provider relations, and provider liaison functions
- Oversees 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 on average 30%; occasional overnight stays
- 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 sales initiatives, 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
- 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
-
Talent Development Manager
2 days ago
Virginia Peninsula Community College Hampton, United StatesPosting Summary · **Working Title** · - Talent Development Manager**Role Title** · - Human Resource Analyst II**Role Code** · SW**FLSA** · - Exempt**Pay Band** · - 05**Position Number** · **Agency** · - Virginia Peninsula Community College**Division** · - Virginia Peninsula Commu ...
-
Management Development Program
1 week ago
Marriott Vacations Worldwide Williamsburg, United States**Relocation Assistance Available** · **Resort Operations: Management Development Program** · **Our Company** · Marriott Vacations Worldwide offers flexible vacation programs, giving customers the ability to choose the style of vacationing that suits their needs, year after year. ...
-
Manager, Analytics Development
1 week ago
Hyundai Capital America Newport Beach, United States**Manager, Analytics Development & Operational Reporting** **-** **(**2400008V**)** · **Description** · **Who We Are**:Through our service brands Hyundai Motor Finance, Genesis Finance*, and Kia Motors Finance, we provide financial products tailored to meet the needs of Hyundai, ...
-
Manager of Business Development
1 week ago
Chamber Collaborative Hampton, United StatesHRCU was established in 1962 and is headquartered in Rochester NH. Our headquarters is in Rochester, and we operate branches in Dover, Farmington, and at Spaulding High School. Our field of membership extends throughout the state of NH and York County Maine. · HRCU is growing Our ...
-
Manager Business Development
1 week ago
B3H Corporation Hampton, United StatesOverview · As the Business Developer you will work directly with the Company President to source and direct the proposal process. The focus of the role will be hands on to ensure we pursue contracts that allow us to deliver an exceptional customer experience for all our partners ...
-
Cyber Operations Trainer
1 week ago
Dhara Consulting Group Hampton, United StatesToday · - Top Secret/SCI · - Early Career (2+ yrs experience) · - $85,000 · - No Traveling · - IT - Security · - Hampton, VA** (ON-SITE/OFFICE)**-Langley Air Force Base, VA** (ON-SITE/OFFICE)** · Apex Systems is hiring for one of our large cyber solutions clients supporting the a ...
-
Program Specialist
2 days ago
US Langley Research Center Hampton, United States**Duties**: · - Collaborates with Center senior leadership for business development, technology commercialization, and external partnerships. Leading authority on technology partnerships and responsible for program definition, organization, management and direction. · - Leads the ...
-
Social Worker Program Coordinator
1 day ago
US Veterans Health Administration Hampton, United States**Duties**: · The Customer Experience Manager is responsible for the overall planning, organization, directing, controlling, and evaluating programs and outcomes impacting patient and employee engagement; daily attention to the resolution of complex customer service problems; par ...
-
Enterprise Management Training Support
1 week ago
The Intellekt Group Hampton, United StatesJob Title: Enterprise Management Training Support · Reports to: Site Lead · Department/Unit: ACC A2 Approved by: Program Manager · Location: Langley AFB, VA FLSA: Full-Time Exempt · Created/updated: 04/25/2024 · Job ID: 18 · **Job Summary**: · **Essential Functions**: · - Organiz ...
-
Intel Program Support
5 days ago
Credence Management Solutions, LLC Hampton, United StatesOverview: · Credence Management Solutions, LLC (Credence) is seeking an Intelligence Program Support to support our Air Combat Command (ACC) Intelligence Directorate (A2) program out of Langley AFB, VA. This position will be supporting the A22 - Tradecraft · - Functional Requirem ...
-
C2isr Crc Training Management
1 week ago
OnPoint Consulting, Inc Hampton, United StatesProvide expertise and advise leadership in the overall development, planning, establishment, and implementation of CAF CRC training and evaluation programs. · - Review, develop and prepare inputs for CRC training program guidance. Advise leadership on CRC training programs and an ...
-
Air Combat Training Systems
1 hour ago
R&K Enterprise Solutions Hampton, United StatesAir Combat Tracking Systems (ACTS) Support · R&K Enterprise Solutions, Inc. (R&K) is a certified Service-Disabled Veteran Owned Small Business (SDVOSB) with core capabilities in Mission Support, Engineering, Cybersecurity, Exercise/Training, and Defense Healthcare in support of o ...
-
Administrative Specialist
2 days ago
US Langley Research Center Hampton, United States**Duties**: · - Oversees and manages a variety of administrative programs in areas such as awards administration, training, performance management, position management, personnel actions, and related administrative support services. · - Reviews or develops staffing documentation ...
-
Af Dcgs Manpower and Resource Sme
1 week ago
Credence Management Solutions, LLC Hampton, United StatesOverview: · Credence Management Solutions, LLC (Credence) is seeking an AF DCGS Manpower and Resource SME to support our Air Combat Command (ACC) Intelligence Directorate (A2) program out of Langley AFB, VA. This position will be supporting the A3/2D- DCGS Operations. · The AF DC ...
-
Maintenance Technician
1 day ago
BECO Hampton, United States**About us**: · BECO Asset Management is a Chesapeake-based property management company with over 2,000 apartment units at eight properties and over 320,000 square feet of office, retail and industrial commercial space. Bridgeport, BECO's premier development, is under constructio ...
-
Non-kinetic Targeting Sme
5 days ago
Credence Management Solutions, LLC Hampton, United StatesOverview: · Credence Management Solutions, LLC (Credence) is seeking a Non-Kinetic Targeting SME to support our Air Combat Command (ACC) Intelligence Directorate (A2) program out of Langley AFB, VA. This position will be supporting the A22 - Tradecraft · - Functional Requirements ...
-
Volunteer Coordinator
1 week ago
Quality of Life Inc. Hampton, United StatesOverview: · We are seeking a dedicated and experienced Volunteer Coordinator to join our team. As the Volunteer Coordinator, you will be responsible for overseeing all aspects of our volunteer program, including recruitment, training, and management. This is a rewarding opportuni ...
-
Aquatics Director
6 days ago
YMCA of Long Island, Inc. East Hampton, United States***: · The Aquatics Director, under the direction of the Executive Director, is responsible for organizing and implementing diverse and safe swim program which will incorporate large group and individual activities, swim lessons for all ages and promote program participation. The ...
-
Cyber Trainer
1 day ago
Dhara Consulting Group Hampton, United StatesToday · - Top Secret/SCI · - Early Career (2+ yrs experience) · - $80,000 · - No Traveling · - Trainer/Instructor · - Hampton, VA** (ON-SITE/OFFICE)**-Langley Air Force Base, VA** (ON-SITE/OFFICE)**-Langley AFB, VA** (ON-SITE/OFFICE)** · Apex Systems is hiring a Cyber Capabilitie ...
-
Requirements Manager
4 days ago
SAIC Hampton, United StatesJob ID: HAMPTON-VA · **Location**:HAMPTON, VA, US · **Date Posted**: · **Category**:Engineering and Sciences · **Subcategory**:Systems Engineer · **Schedule**:Full-time · **Shift**:Day Job · **Travel**:No · **Minimum Clearance Required**:Top Secret · **Clearance Level Must Be Ab ...
Network Development Manager - Hampton, United States - Equality Health
Description
Position Summary: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. Our mission is to ensure diverse populations receive quality healthcare that improves and enriches their lives. 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.
The Network Development Manager (NDM) serves as the primary source of network recruitment and development for the Hampton Roads territory, 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 with providers in their territory to introduce the Equality Health Network, and drive understanding of capabilities and benefits, with the objective to secure participation and signed 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 manages and executes new sales/service contracts for a particular market and supports provider network growth strategies and provider network development in all markets.
*Only considering candidates that reside in/near the Hampton Roads/Tidewater area*
Responsibilities:
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training
