Network Recruitment and Development Specialist

Accountabilities

• Develop, expand, and maintain the PPO provider network by identifying prospective providers, conducting outreach, managing solicitation activities, and negotiating rates in accordance with established fee schedules.
• Coordinate provider rate negotiations with senior Provider Relations and Finance leadership, balancing network needs, contractual requirements, and financial considerations.
• Support provider orientations through individual and regional training sessions, ensuring new providers understand network expectations, processes, and resources.
• Serve as a key liaison between treatment providers, clients, patients, and internal teams, addressing questions and resolving issues promptly and professionally.
• Partner with Clinical teams on provider matching, case-specific connections, and problem-solving, as well as support Accounting and Marketing activities related to current and prospective client contracts.
• Assist with proposal development and other client-support materials as requested.
• Maintain and strengthen departmental policies, procedures, quality standards, provider contracts, and fee structures, recommending updates when appropriate.
• Participate in provider relations, marketing, research, public relations, and special projects, including monitoring competitor activity, regional provider rates, market trends, and relevant developments within the behavioral health field.
• Prepare reports, share market intelligence, recommend product or network enhancements, and keep leadership informed of important industry developments.
• Attend relevant meetings and perform additional duties or projects aligned with network development and provider relations objectives.

Requirements

• Bachelor’s degree in a relevant field or equivalent applicable education and experience.
• At least 3 years of provider relations experience, preferably within a PPO, HMO, managed care, or similar healthcare environment.
• Experience working with managed care or PPO networks, including provider recruitment, contracting, relationship management, and rate negotiations.
• Familiarity with the behavioral or mental health sector is preferred, along with exposure to public relations or provider-facing environments.
• Understanding of case management and utilization review functions is advantageous.
• Experience working with fiscal considerations, contractual terms, provider reimbursement, and rate structures.
• Proficiency with standard computer applications and productivity tools, including Microsoft Word, Access, PCs, and internet-based systems.
• Strong written and verbal communication skills, excellent organization, and the ability to manage extensive telephone-based outreach and relationship-building activities.
• Strong problem-solving, negotiation, presentation, and interpersonal skills, with the ability to communicate effectively with diverse stakeholders.
• Experience delivering group presentations or speaking to provider audiences is preferred.
• A cooperative, professional, self-directed, assertive, and goal-oriented approach, with the ability to work independently in a remote environment.
• Experience supporting business, corporate, or employer-focused services is a plus.

Benefits

• Full-time position offering 40 hours per week.
• Fully remote work environment within the United States.
• Opportunity to contribute to the development of behavioral health provider networks and improved access to care.
• Exposure to provider relations, managed care, contracting, business development, and cross-functional healthcare operations.
• Opportunities to participate in professional training, research, special projects, and network development initiatives.
• Collaborative work with Provider Relations, Clinical, Finance, Accounting, Marketing, and other business functions.
• Compensation and benefits details are not specified in the provided job posting.