Network Relations Specialist

Job ID
2021-175419
Employment Type
Full Time
Department
Clinical Integration
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Standard Hours
Monday - Friday (8:00 AM - 5:00 PM)
Work Schedule
8 Hour
Location
AZ-Phoenix

Overview

The Arizona Care Network (ACN) is a clinically integrated (CI) physician network and Accountable Care Organization (ACO) sponsored by Dignity Health and Abrazo Health.  The Network Development Associate is an employee of Dignity Health Management Services Organization.  Under the direction of the ACN Provider Network Development Manager, this individual assists with the development and maintenance of the provider network to ensure adequacy of the network for the highest quality, cost-effective providers of healthcare services and a successful physician integration strategy.

 

The Network Development Associate locally supports the ACO/CI program through ongoing interaction with potential and participating physicians and ACN leadership. 

Responsibilities

 

 

KEY RESPONSIBILITIES & ACCOUNTABILITIES:

  • Collaborates with ACN leadership to strategize provider recruitment activities.
  • Under direction from the Provider Network Development Manager, provides local support activities to address adequacy needs in the ACN participating provider network by maintaining targeted recruitment list and pipeline, and securing meetings with targeted physicians/provider groups to gain their participation in the network.
  • Identifies synergy between ACN and potential new providers, and develops and maintains positive, mutually successful relationships with potential network providers and their key administrators; rounds on potential new providers to develop and maintain relationship-building, including local travel.
  • Provides feedback in the form of progress reports to Director of Provider Network of current contract negotiations, meetings and pipeline.
  • Processes provider applications for participation in the network, ensuring that all required information, supporting documentation and signed agreements are in place for ACN Network Development Committee review, and ensures relevant data for approved providers is entered in to the Physician Relationship Management Tool SalesForce.com.
  • Contributes to the preparation of monthly Network Development Committee meeting agendas, and presents applicants for Committee review.
  • Submits necessary documentation to CMS for approval of provider/group as a Participant in the Medicare Shared Savings Program ACO; monitors CMS application review process and performs resubmissions as required.
  • Performs monthly non-par provider reconciliation with contracted CI payers to facilitate alignment of ACN provider network with contracted CI provider networks.
  • Assists with the ongoing maintenance of ACN network including provider communications and in person visits as set forth by ACN.
  • Other duties as assigned.

Qualifications

Required:

 

  • Minimum 3 years experience in provider relations, provider credentialing, provider contracting and/or network development in a health care or managed care setting required.

Education and Training:

 

  • High School Diploma/GED- High School Diploma or equivalent required .
  • College degree preferred

 

Special Skills and Knowledgde: Demonstrated skills in the areas of written and verbal communication, judgment, problem-solving, presentation and public relations.

 

Other Requirements: This position requires a highly motivated person with exceptional customer service, relationship management and interpersonal skills. Attention to detail. Capable of independent thinking, as well as perform in a team environment. Position will require automobile travel. 

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