Description: Position Purpose: Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included.
Recruit and develop network for a region and set of providers
Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives
Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication
Initiate contact and identify potential providers by geographic and specialty needs and update database
Coordinate with internal departments and contracted providers to implement and maintain contract compliance