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Senior Manager- Provider Relations (Recruitment - Medical, Surgical)

Date: May 14, 2019

Location: Mason, OH, US, 45040

Company: Luxottica Group

Requisition ID: 99718 
Position:Full-Time

 

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, Target Optical and Sears 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

This position is responsible for the network management of medical and surgical. This includes partnering with the Sales & Service team, implementing network strategy to grow and maintain EyeMed’s medical and surgical network, and responsibility 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 and project management of the entire network build and implementation for the medical and surgical network
  • Partner with Sales & Account Management to ensure alignment between the sales strategy and EyeMed network. Develop and implement appropriate project timeline in collaboration with the sales and service teams
  • Responsible for the network development and growth of medical and surgical network, including managing relationships and a thorough knowledge of network, providers and provider groups within medical and surgical.
  • Identify sub-specialty providers necessary to meet state and client requirements and make recommendations around specific provider pursuit. Initiate recruitment efforts to potential providers and present the EyeMed program in a quality and professional manner, while complying with all marketing collateral to deliver the Provider Core Story
  • Partner to develop corresponding fee schedules to meet local market conditions.
  • Finalize recruitment and contracting effort in order to fulfill credentialing and delivering requirements when appropriate.
  • Lead the network and contracting effort to help providers comply with administration requirements. Ensure the provider goes through the credentialing and onboarding and training process, resolving any issues through implementation.
  • Participate in trade show events and conferences to support contracting, recruiting and communication efforts to provider community.
  • Responsible for building business cases to provide the recommended approach for provider reimbursement increases

 

BASIC QUALIFICATIONS

  • Bachelor’s Degree
  • 8+ years of client facing experience
  • 25% travel
  • Excellent verbal and written communication and presentation skills. Ability to communicate status updates and priorities and maintain composure in stressful situations
  • Strong relationship management skills. Ability to provide exceptional service, clearly identify needs, and manage resistances or concerns from the customer
  • Able to manage the details of numerous customers simultaneously. Properly sets expectations with customers and follows-through on execution to completion
  • Strong problem solving skills in operations and administrative processes
  • Demonstrated ability to work independently and manage multiple projects simultaneously
  • Proficient in Microsoft Office, Outlook, and Excel

 

PREFERRED QUALIFICATIONS 

  • Experience in network development, provider relations, or sales and account management within the health care field
  • Knowledge and understanding of plan benefit designs, standards of administration, managed vision care and network options, medical provider reimbursement methods
  • Knowledge of the private doctor community and billing and claims for professional services, outpatient, and inpatient facilities
  • 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 contact Talent Luxottica at  877-589-8253 (513-765-2256 outside of US) or email TalentLuxottica@luxotticaretail.com

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity or expression, citizenship, 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.

Sales / Account Management  

 


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