What are the responsibilities and job description for the Network Operations Specialist - ProCare position at Cantex Continuing Care Network?
Job Details
Description
Job Summary:
The Network Operations Specialist is a provider and member facing role and reports directly to the Manager of Provider Contracting and Network Management. This individual negotiates agreements with highly visible providers who are strategic to the success of the Plan, including but not limited to hospitals and physician groups that result in high quality, cost effective and marketable providers.
Essential Duties and Responsibilities:
- Accountable for end-to-end provider experience and overall delivery
- Fulfill Gap Closures and satisfy Adequacy Measures
- Negotiate and Re-Negotiate Agreements
- Cost Savings Agreements
- Conduct New Provider Orientations (when contracted)
- Submit Single Case Agreements when applicable
- Track and Trend provider targets
- Collaborate with all departments for any contractual needs or educational purposes
- Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to develop and drive strategic improvements
- Collect, analyze, interpret, translate and distribute provider information, reports, dashboards
- Track and monitor performance
- Understands and applies service culture principles and methodology
- Develops and participates in presentations to existing and prospective partners
- Training with our Business Operations team for member sales
Qualifications
Preferred Qualifications:
- College degree or equivalent work experience (2-5 years)
- 2 years of experience in Provider Relations, Contracting, and/or Healthcare
- Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills
- Ability to use PC software and multiple systems
- Ability to work autonomously
- Ability to travel required (20-50%)
- **PREFERRED LOCATION: Dallas TX**
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level*
About ProCare Advantage:
ProCare Advantage (HMO I-SNP) is a division of Cantex Continuing Care Network, LLC. Formed in 1978 and now operating 37 nursing facilities in Texas and New Mexico, Cantex is an established and respected industry leader in the provision of exemplary skilled nursing care. Its “Committed to Excellence” philosophy emphasizes compassion, service and a commitment to realizing the best possible health outcomes for its patients, including its ProCare Advantage Medicare beneficiaries. Respected for its proactive performance improvement programs and its continuous commitment to caring and to quality, Cantex has built a comprehensive, innovative, streamlined and holistic approach to meeting the full continuum of long term and ancillary care needs in the communities it serves. This fully integrated range of services promotes a seamless experience for its patients and includes home health, hospice, rehabilitation and pharmacy services. Learn more at Cantex.
Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.
Please visit cantexcc.com for more information on this location.
