Network Development Operations Specialist

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.  

Position Overview

The Network Development Operations Specialist supports the efficient execution of contract management and provider network operations. This role is responsible for processing, reconciling, reporting, and organizing contract and credentialing information in our system while meeting productivity targets and ensuring high-quality standards. The Specialist will conduct outreach, research, and reconciliation efforts to support network development initiatives and strategies.

This is a fully remote position, with the opportunity to collaborate with team in the Columbus, OH area. 

Schedule

Full-Time, 1.0 FTE (40 hours/week). Mon - Fri, standard business hours.

How Network Development Operations Specialists Empower Recovery

• Strengthen MCO relationships and conduct regular joint operations meetings.
• Provide claims support and escalate prior authorization issues to resolution.
• Assist in preparing for value-based contract arrangements.
• Support growth initiatives and expansion efforts by leveraging expertise in reporting, research, and planning.
• Log, scrub, and enter contract information into our system with precision and accuracy.

Qualifications

• Bachelor’s or higher degree in public health, health administration, business administration, public policy or related field.
• Payer contracting/relations experience
• Health care experience required, 3+ years (preferably behavioral health)
• Must be familiar with health care pricing and reimbursement methodologies
• Knowledge of network development processes, contract language, principles of negotiation and credentialing
• Ability to communicate effectively and work directly with clients, physicians, staff, managers, department heads, health plans and government agencies and community members.
• Proficient in Excel / Microsoft Suite

What we offer:  

Employee Benefits: We understand the importance of a well-rounded benefits package. That’s why we’re dedicated to providing a range of plans to meet your needs.  

For full-time employees, we offer: 

• HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield) 
• Dental insurance (Delta Dental) 
• Vision insurance (EyeMed) 
• Short-term and long-term disability insurance 
• Company-paid life insurance 
• 401(k) plan available two months after start date 
• Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation 

Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.