The Provider Network Development Analyst is responsible for the selection, development, expansion and contracting of provider network facilities; documenting pertinent information regarding potential provider facilities; identifying prospective providers through the use of geographical resources; coordinating activities with fellow team members; and special projects as requested.
Analyze market network needs and develop/implement strategies to meet those needs
Interact with current, new, and prospective clients to ensure network expectations are understood, communicated and implemented
Research and identify prospective fitness provider partners
Manage network development in current, new, and prospective markets by directing and tracking progress of network development activities
Coordinate network changes with Contracts, Account Management, Marketing, etc.
Work with Data Administration to manage membership data to ensure business needs are met
Maintain membership information integrity in accordance with HIPPA regulations
Perform demographic data analysis, report, create strategies, and implement projects/activities regarding Medicare-eligible population concentrations (CMS data), major ethnic populations and their geographic concentrations, "invisible barriers"
Design, document, and implement or recommend process improvements
2+ years network development in a health care and/or fitness related field
Bachelor's (four-year) degree in a business related field
Excellent interpersonal relationship skills
Extensive experience with Microsoft Excel and Access
Experience/proficiency using GeoAccess software
Effective oral and written communication skills
Exceptional organizational and time management skills
Healthways is the largest independent global provider of well-being improvement solutions. Dedicated to creating a healthier world one person at a time, the Company uses the science of behavior change to produce and measure positive change in well-being for our customers, which include employers, integrated health systems, hospitals, physicians, health plans, communities and government entities. We provide highly specific and personalized support for each individual and their team of experts to optimize each participant's health and productivity and to reduce health-related costs. Results are achieved by addressing longitudinal health risks and care needs of everyone in a given population. The Company has scaled its proprietary technology infrastructure and delivery capabilities developed over 30 years and now serves approximately 40 million people on four continents.
Here at Healthways as we continue to make the world a healthier place, we have also created an environment where people choose to do their best work. Our unique culture thrives on mission-driven individuals who exude a high sense of energy and passion in everything that they do. Collaboration and teamwork are an essential part of everyday life for Colleagues who trust and depend on one another to achieve the highest degree of collective success. We are an organization that strives to recruit the best and the brightest individuals who take pride in the statement 'I work for Healthways.'
Healthways, Inc. is an equal employment opportunity employer and is committed to a proactive program of affirmative action and diversity development. Healthways, Inc. will continue to recruit, hire, train, and promote into all job levels without regard to race, religion, gender, marital status, familial status, national origin, age, mental or physical disability, sexual orientation, gender identity, source of income, or veteran status.
Healthways - 18 months ago
For health insurers, healthy plan members are cheap plan members; that's where Healthways comes in. The health services company...