Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Network Development Representative- BH (Metro East)

Expired Job

Meridian Chicago , IL 60602

Posted 3 months ago

Overview

Who we are:

Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry.

We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio. As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide.

Our associates work hard, play hard, and give back. Meridian associates enjoy an exceptional experience and culture including special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities.

A Day in the Life of a Network Development Representative:

This position is to create an educated and comprehensive Behavioral Health (BH) provider network statewide.

Responsibilities

  • Responsible for the prospecting and contracting of all BH providers state wide

  • Responsible for orientations and ongoing education with BH providers.

  • Work with territory reps on any issues (claims, etc.)

  • Review all BH contracts to make sure all providers are either in our system as organizational or credentialed (new)

  • Attend State meetings related to BH as needed

  • Coordinating the entire contracting process for all potential providers, including prospecting, negotiation, credentialing and orientation

  • Collecting all practitioner and ancillary signed contracts, applications and necessary credentialing information. Ensuring MHP's credentialing standards are maintained.

  • Educating providers on MHP's provider policies and procedures

  • Provider network reporting for State expansion requirements

  • Assist contracted MHP providers with access to the Provider Portal. Provide ongoing education on the use and tools of the Provider Portal

  • Provide exceptional customer service to our Provider Network

  • Complete change forms and top sheets when needed to update Provider changes and or additions in MCS (complete and submit appropriate documentation for proper set up in MCS)

  • Assisting with planning and development activities related to BH department

  • Perform other duties as assigned

Qualifications

What you can bring to Meridian:

  • Bachelor's deree required

  • One to three years of provider services or managed care experience is required

  • Thorough knowledge of Practitioner, Hospital, and Ancillary Agreements

  • Thorough knowledge of BH credentialing requirements for all providers

  • Thorough knowledge of BH managed care reimbursement methods

  • Thorough knowledge of BH, Medicaid managed care, reimbursement, and Medicaid/Medicare guidelines

  • Computer skills, including working knowledge of Excel and Oracle software

  • Follow up skills, with a "do whatever it takes" attitude

  • Organizational skills

  • Ability to communicate clearly and concisely both orally and in writing

  • Ability to work as part of a team while maintaining and exceeding individual goals and objectives

What Meridian can offer you:

  • Ourhealthcare benefits include a variety of plans that are effective on the first day of employment for our new full-time team members.

  • Opportunity to work with the industry's leading technologies and participate in unique projects, demonstrations, conferences, and exclusive learning opportunities.

  • Meridian offers 401k matching that is above the national average.

  • Full-time Meridian employees are eligible fortuition reimbursement towards Bachelor's or Master's degrees.

  • Meridian was named

Detroit's #1 Fastest Growing Company by Crain's Magazine, so it is a great time to get involved with Meridian.

Equal Opportunity Employer

#MSTR


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Asset Based Lending Sales Representative Commercial Development Representative

Wells Fargo

Posted 4 days ago

VIEW JOBS 12/12/2018 12:00:00 AM 2019-03-12T00:00 Job Description At Wells Fargo, we want to satisfy our customers' financial needs and help them succeed financially. We're looking for talented people who will put our customers at the center of everything we do. Join our diverse and inclusive team where you'll feel valued and inspired to contribute your unique skills and experience. Help us build a better Wells Fargo. It all begins with outstanding talent. It all begins with you. Wholesale Banking provides financial solutions to businesses across the United States and globally. Our nine major business lines include Business Banking, Middle Market Banking, Government and Institutional Banking, Corporate Banking, Commercial Real Estate, Financial Institutions Group, Wells Fargo Commercial Capital, Wells Fargo Securities, and the Investment Portfolio. We also have groups in credit risk, group risk, finance, marketing, human relations, and the Wholesale Chief Operating Office that support our businesses. Wells Fargo Commercial Capital (WFCC) combines Wholesale's secured lending businesses including Commercial Distribution Finance (CDF), Corporate Trust Services (CTS), Wells Fargo Capital Finance (WFCF) and Wells Fargo Equipment Finance (WFEF). This consolidated group of businesses helps customers leverage their company's assets into flexible financing solutions. WFCC is a leading contributor to Wholesales revenue, assets, and net income. Wells Fargo Capital Finance (WFCF) is one of the top lead arrangers of asset-based loans in the U.S. with a large and diversified portfolio of close to 2,400 customers and more than $33 billion in loans outstanding. WFCF offers traditional asset-based financing, specialized senior secured financing, accounts receivable financing, purchase order financing, and supply chain financing to a wide range of companies throughout the United States, Canada and the United Kingdom. This position will help facilitate Direct Loan Originations support for our Corporate Finance originations team in Chicago. This is a key position with responsibilities that include business development coverage of Wells Fargo Capital Finance's prospective clients in close partnership with Wells Fargo Wholesale Banking Partners. Originations coverage includes representing WFCF through the direct contacting of company c-level execs and decision-makers and/or leveraging existing Wells Fargo relationships to do the same. Additional responsibilities of the role include: * researching public and private companies; * tracking potential prospects through an organized, consistent, and persistent coverage model; * maintaining WFCF databases for direct origination efforts; * identifying potential new prospects; * identifying new resources to increase success of the direct loan originations program; * working closely with a team of analysts who provide reporting, research, and analytical support; and * supporting Business Development Officers (BDOs) through the solicitation process once new opportunities have been identified and pre-screened. Team members support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite and all risk and compliance program requirements. Required Qualifications * 3+ years of experience in one or a combination of the following: leveraged finance, commercial finance, or investment banking Desired Qualifications * Basic knowledge and understanding of commercial lending, private equity, or investment banking environment * Basic Microsoft Office skills * Excellent verbal, written, and interpersonal communication skills Other Desired Qualifications * 3+ years of experience in commercial or corporate lending, including exposure to the credit underwriting process. * Demonstrated ability to analyze lending opportunities, including experience with financial statement analysis. * Ability to effectively communicate asset based lending credit products to prospects and to our Wholesale partners. * Knowledge of asset based lending and capital markets. * Strong commitment to the sourcing of new business. * Familiarity with CRM systems and usage protocols. Disclaimer All offers for employment with Wells Fargo are contingent upon the candidate having successfully completed a criminal background check. Wells Fargo will consider qualified candidates with criminal histories in a manner consistent with the requirements of applicable local, state and Federal law, including Section 19 of the Federal Deposit Insurance Act. Relevant military experience is considered for veterans and transitioning service men and women. Wells Fargo is an Affirmative Action and Equal Opportunity Employer, Minority/Female/Disabled/Veteran/Gender Identity/Sexual Orientation. WHOLESALE BANKING 0165649 WHOLESALE BANKING Wells Fargo Chicago IL

Network Development Representative- BH (Metro East)

Expired Job

Meridian