Provider Network Associate

About This Role

This role will support a health insurance provider's Contracting team by recruiting and contracting healthcare providers to meet network adequacy needs. The position involves outreach, relationship building, and process improvement to expand the provider network in defined expansion regions.

Responsibilities

• Leverage demographic data to target recruiting for network adequacy based on geography, specialty, or member demographics
• Deploy recruiting activities in defined expansion regions based on population demographics, healthcare needs, and competitor presence
• Assess potential provider capabilities, workflows, and staffing to ensure adherence to access standards and quality of care requirements
• Help develop targeted outreach strategies to attract high-quality providers in desired specialties and locations
• Perform daily outreach and contact with potential providers through phone calls, emails, and in-person meetings to present the benefits of joining the network
• Document provider outreach activities and manage provider data in a Customer Relationship Management (CRM) system
• Pitch the network to prospective providers and guide new providers through the process of joining the network
• Participate in process improvement initiatives to optimize workflows and enhance provider experience
• Ensure compliance with all applicable laws and regulations

Requirements

• 3+ years of experience in provider healthcare recruiting and contracting
• 1+ years experience in provider relations, provider services or provider recruiting, and working cross-functionally to drive growth and expansion in one or more geographical areas

Qualifications

• Bachelors Degree or 4+ years of relevant experience
• 3+ years of experience in provider healthcare recruiting and contracting, with 1+ years in provider relations, provider services, or provider recruiting, and working cross-functionally to drive growth and expansion.

Nice to Have

• Experience with Customer Relationship Management (CRM) systems in a healthcare environment
• Experience in credentialing function and credentialing software

Skills

* Required skills

Benefits