Senior Network Recruiter

Role Description

The Sr. Network Recruiting Specialist will be responsible for recruitment of vision providers to the Superior Vision network according to established goals and priorities. This individual will also be responsible for following up with providers undergoing the credentialing process, providing service and education to network physician/providers during the recruitment process, maintenance of the network as required, amongst other duties. This role will require a highly motivated individual with medical surgical recruitment experience, as well as facility contracting experience with excellent negotiations, sales, interpersonal and communication skills and the willingness to work hard to meet goals.

• Recruits and contracts new vision providers and facilities into Superior Vision networks according to established goals and priorities.
• Takes inbound and makes outbound phone calls to vision providers who have requested information, who have been recruited or who have been nominated by members.
• Negotiate fee schedules with new and existing vision providers in accordance with corporate goals and standards as required and review for completeness of application materials.
• Obtain and process application materials and credentialing documents as required and review for completeness.
• Assist in other projects as necessary.
• Educate providers on plan designs, processes.
• Build and maintain relationships with provider community.
• Work with provider practices to resolve complaints, claims issues as needed.
• Generate other ad hoc reports as needed.
• General supervision on completed work and monitoring against established goals.
• Requires daily use of considerable discretion, judgment and independent problem solving.
• Willingness to travel throughout the contingent US, as needed, to the contracted retail chain locations for relationship building and training purposes.
• Work with Director of Network Development and Provider Relations to identify appropriate recruitment strategies.
• Required to travel to meet clients in person.
• Other duties as assigned.

Qualifications

• Bachelor’s degree preferred. High School diploma/GED accepted with appropriate work experience.
• 3 – 5+ years of experience in Medical Surgical Network Development.
• Minimum of 1 year experience with Medicare and Medicaid programs is preferred.

Requirements

• HIPAA & Security Requirements: All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures.
• Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times.
• Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

Benefits

• Comprehensive and competitive total rewards package designed to support your health, financial well-being, and work-life balance.
• Medical, dental, and paid vision coverage.
• Paid time off and company holidays.
• Retirement savings with employer contribution.
• Employee wellness resources.
• Professional development opportunities.
• Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.