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CorVel Corporation · 1 month ago

Network Developer II

United States

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 for various industries. The role of Network Developer II involves increasing in-network claims and revenue through effective provider contracting and management, requiring strong negotiation and interpersonal skills.

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 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

Additional duties as assigned

Qualification

Provider recruitmentNegotiation skillsMicrosoft applicationsInterpersonal skillsCommunication skillsProblem solvingAttention to detail

Required

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

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