Provider Network Specialist

Posted 10 Days Ago
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Hiring Remotely in Plantation, FL
Remote
Entry level
Healthtech
The Role
The Provider Network Specialist is responsible for recruiting Optometrists and Optical offices, building strong relationships with providers, managing the onboarding process, and ensuring effective communication between providers and internal teams. This role also involves reporting on recruitment efforts and participating in special projects related to network expansion.
Summary Generated by Built In

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.

Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.

Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.

We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.

Position Overview:

We are seeking a dynamic and highly motivated Provider Network Specialist to join our team. This role focuses on recruiting Optometrists and Optical offices for our expanding national vision network. The ideal candidate will be responsible for building and maintaining strong relationships with providers while managing the recruitment process from initial contact to onboarding and beyond. This role requires excellent communication, organizational skills, and the ability to work collaboratively with both internal teams and external partners.

Key Responsibilities:

  • Recruitment and Network Expansion
    Build and expand a national network of Optometrists and Optical offices for participation in our Vision Networks.
  • Outreach and Communication
    Initiate contact with potential providers via phone, mailings, email, and follow-up to engage and recruit Optometrists and Optical offices.
  • Reporting and Tracking
    Provide weekly status reports on recruitment efforts by state, tracking progress and identifying opportunities for improvement.
  • Onboarding and Credentialing
    Collaborate with the Credentialing Team to ensure efficient onboarding of new providers, ensuring compliance and a smooth transition into the network.
  • Ongoing Provider Relations
    Serve as a point of contact for recruited Optometrists and Optical offices, addressing questions, concerns, and ensuring high levels of satisfaction with network participation.
  • Communication and Liaison
    Maintain steady communication and act as a liaison between recruited providers, upper management, and internal teams to ensure all parties are aligned and informed.
  • Special Projects
    Support and work on special projects related to provider recruitment and network expansion as needed.

Qualifications:

  • Previous experience recruiting medical offices, especially within the optical or vision care industry.
  • Familiarity with credentialing processes and compliance regulations.
  • Strong communication and interpersonal skills to build and maintain relationships with external providers and internal teams.
  • Proven ability to manage recruitment efforts and meet set goals.
  • Experience with onboarding and credentialing processes is a plus.
  • Highly organized with the ability to manage multiple tasks and priorities simultaneously.
  • A proactive, results-driven individual who is comfortable working independently and as part of a team.
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The Company
Costa Mesa, CA
115 Employees
On-site Workplace
Year Founded: 2015

What We Do

NationsBenefits® is a leading supplemental benefits company providing managed care organizations with innovative healthcare solutions helping to promote independence, health, and well-being for more than 20 million members across the U.S.

When the company was founded in 2015 by Glenn Parker, M.D., we set out to disrupt the healthcare industry. In 2020, we rebranded to NationsBenefits to expand the company’s core offering and broaden the scope of our clinically focused services.

Today, we surpass traditional benefit management programs by helping our health plan partners drive growth, improve outcomes, reduce costs, and delight members. Our best-in-class service model engages members in meaningful and measurable ways with technology-based solutions tailored to the unique needs of each population.

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