- 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 up to 10%; 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
-
Apex Ventures Wayne, United StatesAbout Hiscox SA: · We offer tailored insurance solutions for your specific risks. This includes covering your professional liability risks or insuring your high-value personal assets (including classic cars, art, and vacation properties). · We work with selected brokers throughou ...
-
Business Development Manager
6 days ago
Vaco Detroit, United StatesRESPONSIBILITIESAct as primary liaison and trusted advisor for assigned Practice Group Leaders (PGLs) and teams, offering strategic guidance, initiating business development, and marketing support · Collaborate with lead partners, lawyers, and business support colleagues to formu ...
-
Business Development Manager
4 weeks ago
Sealed Air Corporation Detroit, United StatesSEE designs and delivers packaging solutions that protect essential goods transported worldwide, preserve food, enable e-commerce and digital connectivity, and help create a global supply chain that is touchless, safer, less wasteful, and more resilient. · Our people are entrepre ...
-
Development Center Manager
2 weeks ago
Pensole Lewis College Detroit, United StatesJob Description · Job DescriptionPosition: Development Center Manager - Apparel (Full-Time) · Company: PLC Detroit · Department: Education · Location: 200 Walker St, Detroit, Michigan, United States (On-site) · WHO WE ARE · PLC Detroit (PLC) is the Creative Northstar and premi ...
-
Business Development Manager
2 days ago
Challenger Motor Freight Detroit, United StatesPosition Scope: · We are looking for talented and competitive Business Development Managers (BDMs) that will thrive in a quick sales cycle environment. Under the guidance of the VP of Sales, these BDMs will play a vital role in supporting profitable sales growth. This position r ...
-
Business Development Manager
4 weeks ago
YER Detroit, United StatesAbout the company: · Our client is a service company for the automotive industry, from design, engineering and industrial development to validation, homologation and the construction of pre-series prototypes and exclusive, highly customized limited and ultra-limited series. Sinc ...
-
Development Center Manager
2 weeks ago
Pensole Lewis College Detroit, United StatesJob Description · Job DescriptionPosition: Development Center Manager - Footwear (Full-Time) · Company: PLC Detroit · Department: Education · Location: 200 Walker St, Detroit, Michigan, United States (On-site) · WHO WE ARE · PLC Detroit (PLC) is the Creative Northstar and pre ...
-
Business Development Manager
3 weeks ago
BioIVT Detroit, United StatesWe are a leading global provider of high-quality biological specimens and value-added services. By combining technical expertise, exceptional customer service, and unparalleled access to biological specimens. Our mission is to provide high quality biological tissues, fluids, cell ...
-
Business Development Manager
3 days ago
Challenger Motor Freight Inc. Detroit, United StatesJob Description · Job DescriptionPosition Scope: · We are looking for talented and competitive Business Development Managers (BDM's) that will thrive in a quick sales cycle environment. Under the guidance of the VP of Sales, these BDM's will play a vital role in supporting profit ...
-
Grant and Development Manager
3 weeks ago
Quatrro HR Services Detroit, United StatesJob Description · Job Description · Our client, Pensole Lewis College of Business & Design (PLC Detroit), a Historically Black College and University (HBCU) committed to redefining the narrative around career pathways in design and business while fostering a culture where creativ ...
-
Business Development Manager
2 weeks ago
BioIVT Detroit, United StatesJob Description · Job DescriptionWe are a leading global provider of high-quality biological specimens and value-added services. By combining technical expertise, exceptional customer service, and unparalleled access to biological specimens. Our mission is to provide high quality ...
-
Network Development Manager
2 weeks ago
Equality Health Detroit, United StatesJob Description · Job Description*Considering candidates in Greater Detroit Area, MI* · Position Summary: · Equality Health is an Arizona-based population healthcare company focused on improving care delivery for underserved populations through culturally-sensitive programs that ...
-
Business Development Manager
1 week ago
ProActivate Detroit, United StatesOur client is a leader in audits, training, and process improvement consulting, aiding Engineering, Manufacturing, and Quality leaders to overcome various challenges. Our client is experiencing rapid growth and are looking for a talented individual to join the team and contribute ...
-
Business Development Manager-EIS
1 week ago
TEPHRA Detroit, United States: · Our Client has wide portfolio of business across different verticals in MES/MOM space. We aspire to increase our portfolio at 30% YoY. Our MES portfolio cuts across different verticals, which includes Automotive, Aerospace, CPG, Hi-Tech, Lifesciences, Energy and Utilities sec ...
-
Product Development Manager-Composites
3 weeks ago
Manufacturing Company Detroit, United StatesJob Description · Job DescriptionWe are seeking a Product Development Manager who will support composite material development in Asia and North America. This role is responsible for leading research teams in Korea to develop novel composite materials, coordinate relationships wit ...
-
Senior Project Development Manager
3 weeks ago
Detroit Regional Partnership Detroit, United StatesSenior Project Development Manager - Real Estate (hybrid) · The Detroit Regional Partnership (DRP) is an economic development nonprofit dedicated to serving and promoting the 11-county region of southeast Michigan. Founded in 2019 by a group of business and philanthropic CEOs, ou ...
-
Business Development Account Manager
1 week ago
DCO Energy, LLC Detroit, United StatesThe Business Development & Account Manager is responsible for achieving sales and/or profitability objectives, typically from new clients or accounts. Is responsible for maintaining sales and/or profitability objectives, typically from existing accounts. Identifies marketplace op ...
-
Business Development Account Manager
1 week ago
DCO Energy Detroit, United StatesThe Business Development & Account Manager is responsible for achieving sales and/or profitability objectives, typically from new clients or accounts. Is responsible for maintaining sales and/or profitability objectives, typically from existing accounts. Identifies marketplace op ...
-
Business Development Manager- Remote
1 week ago
Experis Detroit, United StatesJefferson Wells- Business Development Manager- Remote Jefferson Wells delivers solutions and experienced talent to solve emerging challenges in Internal Audit, Risk & Compliance, Finance & Accounting, Tax Services, and Business Optimization. Our mission is to deliver value-based ...
-
Regional Market Development Manager
1 day ago
Thermo Fisher Scientific Detroit, United StatesJob Description · As part of the Thermo Fisher Scientific team, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life every single day to enable our customers to make the world healthier, cleaner and s ...
Network Development Manager - Detroit, United States - Equality Health
Description
*Considering candidates in Greater Detroit Area, MI*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 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 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.
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