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EyeMed - Sr Manager- Provider Rltns

Date:  Nov 16, 2022
Brand:  EyeMed Vision Care
Location: 

Mason, OH, US, 45040

Requisition ID: 768286 
Position:Full-Time
Total Rewards: Benefits/Incentive Information

 

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same.  And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

 

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear.  In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands.  Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, and Target Optical.

 

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

The Sr Manager, Provider Recruiting is responsible for the network management of the routine government program vision networks. This includes partnering with the Sales & Service teams to implement the network strategy to grow and maintain EyeMed’s government programs vision network. The Sr Manager is responsible for building and maintaining positive provider relationships, executing strategies and appropriate reporting to close network gaps, maximize provider retention, increase provider satisfaction and ensure compliance with state legislation.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Leads the project management of the whole network build and implementation
  • Develops and implements appropriate project timeline in collaboration with the sales team
  • Identifies sub-specialty providers necessary to meet state / client requirements and makes recommendations around specific provider pursuit
  • Initiates recruitment efforts to potential providers and presents the EyeMed program in a quality and professional manner
  • Finalize recruitment and contracting effort in order to fulfill credentialing and delivering requirements
  • Complete network and contracting effort to help providers comply with administration requirements.
  • Ensure providers complete credentialing and helps to resolve outstanding credentialing issues, working closely with appropriate internal departments
  • Ensure provider network is trained and onboarded and resolves any issues provider may have during implementation
  • Works within defined standards of administration, procedures, processes and tools.
  • Complies with all marketing collateral to deliver Provider core story
  • Participate in trade show events, conferences and face-to-face meetings with Providers to support contracting, recruiting and communication efforts
  • Builds business case to provide recommended approach for reimbursement increases
  • Manages a team of provider recruiters, setting team expectations, providing tools to be successful and offering on-going training and skill development
  • Conducts regular employee discussions, monitors employee performance, provides developmental coaching and conducts performance reviews

 

BASIC QUALIFICATIONS

  • Bachelor’s Degree or equivalent work experience
  • 8+ years of client facing experience
  • Able to work independently and set agenda for area of responsibility
  • Able to manage the details of numerous customers simultaneously, setting expectations with customers and follows-through on execution to completion
  • Experience leading people in cross-functional teams and / or projects
  • Excellent verbal and written communication and presentation skills
  • Strong customer service skills
  • Knowledge of plan benefit designs, standards of administration, managed vision care and network options in the Government segment
  • Constructively challenges the process and searches for opportunities for improvement
  • Working knowledge of Microsoft Word and Excel

 

PREFERRED QUALIFICATIONS

  • Experience in network development, provider relations or documented background in a sales and or account management capacity in the health care field
  • Working knowledge of private doctor community
  • Knowledge of plan benefit designs, standards of administration, managed vision care and network options, provider reimbursement methods
  • Ability to engage with physicians regarding reimbursement and negotiations

Upon request and consistent with applicable laws, Luxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process.  To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at 1-888-887-3348 (be sure to provide your name and contact information so that we may follow up in a timely manner). 

We are an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law.  Native Americans receive preference in accordance with Tribal Law.


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