Essential HealthCare Solutions, LLC

Based Network Development Consultant

Essential HealthCare Solutions, LLC  •  $40 - $50/hr  •  United States (Onsite)  •  1 month ago
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Job Description

Based Network Development Consultant
Location: Remote (U.S.)
Position Type: Contract

The Value-Based Network Development Consultant is responsible for targeted outreach and engagement with primary care providers (PCPs) referring into a clinically integrated musculoskeletal (MSK) network (orthopedic specialist providers). This role focuses on providers already contracted with a major Medicare Advantage plan and is accountable for contracting with them for a value-based incentive plan.

The consultant will build relationships with key decision-makers, educate providers on the value-based care model, and guide them through the benefits of participation and the contracting process. Success in this role requires effectively communicating the clinical and financial value proposition, addressing objections, and securing participation agreements to strengthen network performance and alignment.

This role supports a client focused on musculoskeletal (MSK) value-based care, with an emphasis on value-based contracting models and clinically integrated network (CIN) structures.

** Preference may be given to a candidate who is located in the AZ market and who has existing relationships with PCP groups and may be able and willing to make personal visits to provider offices.

Key Responsibilities

  • Provider Recruitment & Contracting: Engage a targeted list of PCP groups, orthopedic and musculoskeletal providers already participating in a Medicare Advantage network. Identify key decision-makers and drive adoption of value-based care programs by securing executed participation agreements.
  • Pipeline Management (Targeted Leads): Manage and prioritize a defined pipeline of in-network providers. Conduct structured follow-up, maintain engagement across longer decision cycles, and advance opportunities to close.
  • Value Proposition Delivery: Clearly communicate the clinical, operational, and financial benefits of the value-based incentive model, tailoring messaging to provider-specific priorities.
  • Key Focus Areas for Network Development
  • Relationship Management & Onboarding: Build relationships with providers throughout the engagement lifecycle. Support onboarding and ensure providers understand program expectations, performance metrics, and incentive structures.
  • Objection Handling & Engagement: Address provider concerns related to value-based care participation, operational impact, and workflow changes, to drive informed decision-making.

Key Focus Areas for Network Development

  • Value-Based Contracting: Expand provider participation in value-based programs, emphasizing quality outcomes, cost efficiency, and program incentives.
  • Clinically Integrated Networks (CIN): Support provider alignment referring into a clinically integrated network to enhance care coordination, standardize clinical pathways, and improve overall network performance.

Required Qualifications

  • Experience: 2–5 years of experience in managed care, provider network development, or value-based care environments.
  • Contracting Knowledge: Demonstrated understanding of provider contracting, value-based reimbursement models, and managed care principles.
  • Communication Skills: Strong interpersonal, communication, and presentation skills with the ability to influence and educate providers.
  • Technology: Proficiency with CRM systems and Microsoft Office Suite (Excel, Word). Ability to work independently in a remote environment, manage priorities, and meet deadlines. Must have high-speed internet and a minimum of 2 PC screens, and preferably 3 screens.
  • Independence: Ability to work independently in a remote environment, manage priorities, and meet deadlines.

Experience:

  • Provider Network Development: 3 years (Required)

Compensation: $40. - $50./hr.

Equal Employment Opportunity Statement

Essential HealthCare Solutions, LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, protected veteran status, or any other characteristic protected by federal, state, or local law. EHS is committed to maintaining a diverse and inclusive workforce and complies with all applicable federal employment laws and regulations.

Essential HealthCare Solutions, LLC

About Essential HealthCare Solutions, LLC

Essential HealthCare Solutions, LLC is a national healthcare consulting, and management company. The core services include providing clinical and non-clinical resources for federal, state, and local governments. Our team has extensive experience in providing services to all types of health plans including network development, provider relations, contract negotiations, contract execution, credentialing support as well as healthcare consulting and management services.

Our approach involves:

Provider Speed to Market – We have developed statewide and national provider networks that can meet nearly any requirement

High Performing Networks – Network status visibility and prioritization with competitive negotiations, well priced networks and ability to monitor goals

Market Penetration – Engagement of providers and facilities in the market area quickly to establish value proposition and relationships for network growth and sustainability as well as filling in gaps needed to meet network adequacy requirements

Credentialing Verification – We use a credentialing verification management system that performs primary source verification for state licensure, background checks, malpractice history and verification to ensure the safety of those that are served.

We are confident in our abilities to bring contracted providers to any network and can build a robust network based on any timeline and within budget

Industry
Healthcare & Social Services
Company Size
11-50 employees
Headquarters
Memphis, Tennessee
Year Founded
2015
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