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We are seeking a motivated and relationship-focused Network Development Specialist to support the continued growth and maintenance of our PPO network. This role is responsible for identifying and recruiting providers, negotiating rates, supporting provider orientation and training, and serving as a key liaison between providers, clients, and internal teams. The ideal candidate will bring strong communication, negotiation, and organizational skills, along with experience in provider relations and managed care environments.
Job Responsibility:
Develop, expand, and maintain the PPO network through provider identification, outreach, solicitation, and rate negotiation
Adhere to established provider fee schedules and coordinate rate negotiations with leadership
Assist with provider orientations, including individual and regional training sessions
Serve as a liaison between treatment providers, clients, patients, and internal stakeholders to resolve issues in a timely manner
Support the Clinical Division with provider connections and case-specific problem-solving
Assist Clinical, Accounting, and Marketing teams with support services tied to current or prospective client contracts
Contribute to the preparation of proposals and other contract-related materials as needed
Maintain departmental, corporate, and quality assurance policies and procedures, and recommend updates where appropriate
Recommend revisions to PPO contract forms and provider rates as needed
Participate in ongoing marketing, provider relations, research, and public relations initiatives
Monitor market conditions, including competitor activity, provider rates by region, national trends, and relevant industry changes
Prepare reports and make recommendations for product line enhancements
Attend meetings and complete other related duties as assigned
Requirements:
Bachelor’s degree in a related field required
Minimum of 3 years of provider relations experience required, preferably within a PPO, HMO, or similar managed care environment
Experience with managed care and PPO networks required
Experience with fiscal matters, rate negotiations, and contract terms required
Proficiency with computer applications, including PCs, Word, Access, and internet-based tools
Strong written and verbal communication skills
Strong organizational and problem-solving abilities
Valid Alabama driver’s license, dependable transportation, and ability to travel required
Nice to have:
Background or exposure to the mental health field preferred
Familiarity with case management and utilization review functions preferred
Experience supporting business and industry services preferred
Experience with presentations or group speaking preferred