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CorVel Corporation · 2 weeks ago

Network Developer II

Central Islip, NY

Full-time

Hybrid

Entry, Mid Level

$60K/yr - $96K/yr

2+ years exp

CorVel Corporation is a national provider of industry-leading risk management solutions. They are seeking a Network Developer II responsible for increasing in-network claims penetration and network revenue through effective contracting and management of contracted providers.

InsuranceSoftware

H1B Sponsor Likely

Responsibilities

Identify, initiate, follow-up, negotiate, and finalize effective contracts and renegotiation efforts with providers

Work jointly with District Manager (or above) and management team to set targets based on client needs and strategic direction for your market, utilizing and accurately interpreting all appropriate analytical data (to include Ceris analytics) in determining the validity of provider participation/nomination

Build relationships and interact with providers and share CorVel’s value and differentiators through community involvement, onsite meetings, mailings and other marketing efforts

Become a state expert of local compensation rules and regulations relating to the ability to channel patients, reimbursement schedules, PPO reduction limitations, etc

Arrange face to face meetings with CorVel management team and top prospects

Collaborate with respective National Developer on major hospital/heath system targets

Interface with National Database (NDB) Team to add new contracts to the CorVel database

Assure appropriate changes/additions/deletions to the CorVel Networks are made by NDB. Responsible to ensure accuracy and timeliness for updated provider information

Screen incoming provider applications and agreements for completeness and, when appropriate follow-up with letters and/or telephone calls to obtain incomplete or missing information

Research network problems and initiate resolution; promote strong customer service

Interact with CorVel clients in providing panel development, stewardship meetings, etc

Other duties as assigned

Qualification

Provider recruitmentNegotiation skillsAnalytical data interpretationMicrosoft applicationsInterpersonal skillsWritten communicationProblem solvingAttention to detail

Required

Strong interpersonal skills and adaptive communication style

Complex problem solving skills

Drive for results

Innovative

Proven track record of delivering concrete results in negotiations

Excellent written communication skills

Superb attention to detail and ability to deliver results in a fast paced and dynamic environment

Undergraduate Bachelor of Arts or Sciences degree, liberal arts or business

Demonstrated success in provider recruitment

Two years of sales and/or negotiating experience

Proficient in Microsoft applications and presentation software

Benefits

Medical (HDHP) w/Pharmacy

Dental

Vision

Long Term Disability

Health Savings Account

Flexible Spending Account Options

Life Insurance

Accident Insurance

Critical Illness Insurance

Pre-paid Legal Insurance

Parking and Transit FSA accounts

401K

ROTH 401K

Paid time off

Company

CorVel Corporation

Glassdoor3.0

CorVel is a nationally recognized claims management and managed care provider with over 30 years of experience in the industry.

Founded in 1987

Irvine, California, USA

1001-5000 employees

https://www.corvel.com/

H1B Sponsorship

CorVel Corporation has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (2)

2022 (5)

2021 (2)

2020 (1)