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• F

  Provider Relations and Contracting Specialist  

  FRONTPATH HEALTH COALITION

  full_time - Perrysburg

  Posted: 09/07/2026

  Apply Now

  Job DescriptionJob DescriptionThe role of the Provider Relations and C... Read More

  Job DescriptionJob DescriptionThe role of the Provider Relations and Contracting Specialist is to provide FrontPath members and their enrollees with access to a broad and cost-effective provider network. The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service.  The Provider Relations and Contracting Specialist coordinates the resolution of provider issues with appropriate FrontPath leader or staff. 
  
  Major Areas of Responsibility: 
  
  •     Leads the provider contracting process with new and current participating providers, including standard processes for review of requests for participation, contracting and negotiations for facility, ancillary and professional providers. 
  
  ·         Oversees, conducts and documents facility, ancillary and professional delegated and direct recredentialing cycles. Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. 
  
  ·         Maintains an accurate and up-to-date provider database for use in network management, claims repricing and the provider directory. This includes weekly and monthly reporting of provider files to TPAs and weekly updates to the provider directory. 
  
  ·         Assists the FrontPath customer service specialist, and coordinates distribution of problems for resolution to the appropriate FrontPath leader or staff. Conducts personal follow-up with providers, brokers or TPAs on provider related issues and topics. 
  
  ·         Manages the implementation process (provider adds) for all new providers and for implementation of new negotiated facility and ancillary provider rates. 
  
  ·         Coordinates FrontPath resources to respond appropriately to provider inquiries on claims repricing topics and issues.  
  
  ·         Manages communications with providers; provide appropriate educational opportunities and resources; respond to provider claims inquiries, requests for fee schedules and related information.  
  
  ·         Oversees Claimshop user access for members and providers, including loading into ClaimShop and periodic reverification with provider groups and members. 
  
  ·         Negotiates Single Case Agreements with out of network providers or large case agreements with existing tertiary participating providers at the request or with the approval of the plan sponsor.
  
  •     Assists in the claims repricing function by processing assigned Pend Codes as required in a timely manner. 
  
  ·         Works collaboratively with internal and external stakeholders to foster strong relationships between FrontPath and network providers to provide value and access to FrontPath members.
  
  •     Carries out other duties as assigned. 
  
  Experience Required: 
  
  •    Minimum Bachelor’s degree from an accredited college or university or equivalent relevant work experience.
  
  •    3 + years related work experience, primarily including provider contracting or claims oversight functions.
  
  ·      Demonstrated knowledge relative to local provider and purchaser markets.
  
  ·      Demonstrated ability and proven track record to create and foster strategic relationships with key stakeholders at provider organizations. 
  
  •    Demonstrated ability to use analytics to inform rate negotiations and strategic decision-making.
  
   •    Excellent oral, written, and interpersonal communication skills. 
  
  •         Proven ability to work within a team and to foster teamwork.
  
  •     Strong planning, problem-solving, time management, organizational and prioritization skills.
  
  ·         Demonstrated skill in use of Word, Excel, Access, Power Point, Outlook.
  
   
  
  This is a full-time position reporting to the President and Chief Executive Officer. Read Less

  Apply Now
• F

  Director of Business Development & Member Engagement  

  FRONTPATH HEALTH COALITION

  full_time - Perrysburg

  Posted: 11/06/2026

  Apply Now

  Job DescriptionJob DescriptionPosition Title: Director of Business Dev... Read More

  Job DescriptionJob DescriptionPosition Title: Director of Business Development & Member Engagement 
  
  Reports to:      Chief Executive Officer
  
  This primary focus of this position is to retain and grow FrontPath Health Coalition membership of sponsors of self/level-funded health plans through building ongoing and trusted working relationships with members; delivering excellent member services and products, and supporting a consistently positive Coalition experience for member groups and their health plan enrollees.  The Director of Business Development leads the acquisition of new business through building and maintaining relationships with key constituents including brokers, consultants and third party administrators, as well as prospective members; responding to requests for proposals; and participating in new product development and existing product enhancement. The Director is responsible for coordinating FrontPath resources and overseeing the implementation of new products with members and/or member’s vendors to ensure members receive services that meet their needs. The Director establishes member communications tools and processes to enhance members’ understanding of the value of FrontPath membership, services and products.   
  
  Major Areas of Responsibility
  
  Strategic Planning & ImplementationTogether with the President & CEO develop strategies and partnerships with relevant healthcare organizations for the benefit of the coalitionImplementation and tracking of strategic initiativesWork closely with members to identify resources that add value to their health plan and find solutions the coalition can align with to meet member needsGive focused attention to strategies that help reduce health care spend for members and the community at large·         Serving as visible point of contact with FrontPath members and their brokers/consultants, and/or third party administrators, and coordinating, as needed, communication with appropriate FrontPath staff;·         Developing outreach strategies to encourage greater member participation in key FrontPath products and service offerings.·         Collaborative Activities & PartnershipsNew business opportunities research & development (including due diligence activities)Request For Proposals – oversight, review & response developmentProducts & Services – Pharmacy Benefit manager (PBM) relationships; On Site/Near Site Clinic; Wellness Programs; Dental & Vision; All products related to employee benefit plan design; Small Group Product relationships (Fully Insured, Partially Insured, Captives, MEWA, etc.); Review & development of network design opportunities; Telehealth, Data & Care Management Services relationshipsPartnerships – Brokers/Consultants; TPAs; Joint marketing opportunities; Network collaborations; Pharma vendors (Programs, Educational Materials & Opportunities, Services) 
  
    Financial Oversight Annual Budget Preparation for Business Development, Member Engagement, and MarketingRevenue Development; new members and/or products and services to new/existing members 
  
  Marketing and Sales, Membership Engagement, Growth & Retention  Conduct orientation and onboard services for all new members;  facilitate with FrontPath staff new member implementations and member issue management and oversightMember Communications support, development & reviewHost and develop meaningful quarterly meetings with membersAdvertising campaignsMember Engagement educational forums Sponsorship(s) review & managementWebsite development – support and assist as requestedProspect Development; Marketing Materials preparation & review; Prospect & Renewal Member Meetings -  materials preparation & review Sales of all FrontPath products and services to also include all a la carte offerings through partnerships Remain conversant in client history and track all member interactions and maintain member profile information in Salesforce, create and disseminate member interaction documentation standards for Salesforce.Maintain master contacts and email distribution lists, and develop content and story ideas for member communications, newsletter and surveys 
  
  Legal & Professional Services Collaboration with President & CEO for contract preparations, review & negotiations Coalition MembersVendorsJoint network products development, marketing and oversightWrap Network Programs & Services opportunities review & program(s) marketing  
  
  Regulatory ComplianceMember education and support on regulatory topics such as Consolidated Appropriations Act  (CAA) provisions for self-funded health plan sponsorsCompliance activities related to the provider network aspects of CAA including Transparency in Coverage machine readable files production and maintenance; No Surprises Act support, Mental Health Parity review and documentation, annual fee disclosures, Other Duties as required
  
   
  
   
  
   
  
  Experience Required: 
  
  • Minimum Bachelor’s degree from an accredited college or university; 
  
  • 3 + years related work experience, primarily including client services functions, such as strategic account creation and execution;
  
   • Demonstrated knowledge relative to local market forces and purchaser leadership in health care reform 
  
  • Demonstrated ability and proven track record to create and foster strategic relationships with key stakeholders at member organizations; 
  
  • Demonstrated ability to respond to and use healthcare data to inform strategic decision-making;
  
   • Excellent oral, written, and interpersonal communication skills; 
  
  • Proven ability to work within a team and to foster teamwork; 
  
  • Strong planning, problem-solving, time management, organizational and prioritization skills. 
  
  • Knowledge of PC-based Word, Excel, Access, Power Point, Outlook, and SalesForce.
  
  This is a full-time position reporting to the Chief Executive Officer. Read Less

  Apply Now
• F

  Provider Relations and Contracting Specialist  

  FRONTPATH HEALTH COALITION

  full_time - Perrysburg

  Posted: 10/01/2026

  Apply Now

  Job DescriptionJob DescriptionBenefits:401(k)401(k) matchingCompetitiv... Read More

  Job DescriptionJob DescriptionBenefits:
  401(k)401(k) matchingCompetitive salaryDental insuranceHealth insurancePaid time offVision insurance
  The role of the Provider Relations and Contracting Specialist is to provide FrontPath members and their enrollees with access to a broad and cost-effective provider network. The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The Provider Relations and Contracting Specialist coordinates the resolution of provider issues with appropriate FrontPath leader or staff.
  
  Major Areas of Responsibility:
  
  Leads the provider contracting process with new and current participating providers, including standard processes for review of requests for participation, contracting and negotiations for facility, ancillary and professional providers.
  
  Oversees, conducts and documents facility, ancillary and professional delegated and direct recredentialing cycles. Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers.
  
  Maintains an accurate and up-to-date provider database for use in network management, claims repricing and the provider directory. This includes weekly and monthly reporting of provider files to TPAs and weekly updates to the provider directory.
  
  Assists the FrontPath customer service specialist, and coordinates distribution of problems for resolution to the appropriate FrontPath leader or staff. Conducts personal follow-up with providers, brokers or TPAs on provider related issues and topics.
  
  Manages the implementation process (provider adds) for all new providers and for implementation of new negotiated facility and ancillary provider rates.
  
  Coordinates FrontPath resources to respond appropriately to provider inquiries on claims repricing topics and issues.
  
  Manages communications with providers; provide appropriate educational opportunities and resources; respond to provider claims inquiries, requests for fee schedules and related information.
  
  Oversees Claimshop user access for members and providers, including loading into ClaimShop and periodic reverification with provider groups and members.
  
  Negotiates Single Case Agreements with out of network providers or large case agreements with existing tertiary participating providers at the request or with the approval of the plan sponsor.
  
  Assists in the claims repricing function by processing assigned Pend Codes as required in a timely manner.
  
  Works collaboratively with internal and external stakeholders to foster strong relationships between FrontPath and network providers to provide value and access to FrontPath members.
  
  Carries out other duties as assigned.
  
  Experience Required:
  
  Minimum Bachelors degree from an accredited college or university or equivalent relevant work experience.
  
  3 + years related work experience, primarily including provider contracting or claims oversight functions.
  
  Demonstrated knowledge relative to local provider and purchaser markets.
  
  Demonstrated ability and proven track record to create and foster strategic relationships with key stakeholders at provider organizations.
  
  Demonstrated ability to use analytics to inform rate negotiations and strategic decision-making.
  
  Excellent oral, written, and interpersonal communication skills.
  
  Proven ability to work within a team and to foster teamwork.
  
  Strong planning, problem-solving, time management, organizational and prioritization skills.
  
  Demonstrated skill in use of Word, Excel, Access, Power Point, Outlook.
  
  This is a full-time position reporting to the President and Chief Executive Officer.
  
  Read Less

  Apply Now
• F

  Director of Business Development & Member Engagement  

  FRONTPATH HEALTH COALITION

  full_time - Perrysburg

  Posted: 18/04/2025

  Apply Now

  Job DescriptionJob DescriptionPosition Title: Director of Business Dev... Read More

  Job DescriptionJob DescriptionPosition Title: Director of Business Development & Member Engagement
  
  Reports to: Chief Executive Officer
  
  This primary focus of this position is to retain and grow FrontPath Health Coalition membership of sponsors of self/level-funded health plans through building ongoing and trusted working relationships with members; delivering excellent member services and products, and supporting a consistently positive Coalition experience for member groups and their health plan enrollees. The Director of Business Development leads the acquisition of new business through building and maintaining relationships with key constituents including brokers, consultants and third party administrators, as well as prospective members; responding to requests for proposals; and participating in new product development and existing product enhancement. The Director is responsible for coordinating FrontPath resources and overseeing the implementation of new products with members and/or members vendors to ensure members receive services that meet their needs. The Director establishes member communications tools and processes to enhance members understanding of the value of FrontPath membership, services and products.
  
  Major Areas of Responsibility
  
  
  Strategic Planning & Implementation
  Together with the President & CEO develop strategies and partnerships with relevant healthcare organizations for the benefit of the coalitionImplementation and tracking of strategic initiativesWork closely with members to identify resources that add value to their health plan and find solutions the coalition can align with to meet member needsGive focused attention to strategies that help reduce health care spend for members and the community at large Serving as visible point of contact with FrontPath members and their brokers/consultants, and/or third party administrators, and coordinating, as needed, communication with appropriate FrontPath staff;
  Developing outreach strategies to encourage greater member participation in key FrontPath products and service offerings.
  Collaborative Activities & Partnerships
  New business opportunities research & development (including due diligence activities)Request For Proposals oversight, review & response developmentProducts & Services Pharmacy Benefit manager (PBM) relationships; On Site/Near Site Clinic; Wellness Programs; Dental & Vision; All products related to employee benefit plan design; Small Group Product relationships (Fully Insured, Partially Insured, Captives, MEWA, etc.); Review & development of network design opportunities; Telehealth, Data & Care Management Services relationshipsPartnerships Brokers/Consultants; TPAs; Joint marketing opportunities; Network collaborations; Pharma vendors (Programs, Educational Materials & Opportunities, Services)
  
  
  
  Financial Oversight
  
  Annual Budget Preparation for Business Development, Member Engagement, and MarketingRevenue Development; new members and/or products and services to new/existing members
  
  
  Marketing and Sales, Membership Engagement, Growth & Retention
  
  Conduct orientation and onboard services for all new members; facilitate with FrontPath staff new member implementations and member issue management and oversightMember Communications support, development & reviewHost and develop meaningful quarterly meetings with membersAdvertising campaignsMember Engagement educational forumsSponsorship(s) review & managementWebsite development support and assist as requestedProspect Development; Marketing Materials preparation & review; Prospect & Renewal Member Meetings - materials preparation & reviewSales of all FrontPath products and services to also include all a la carte offerings through partnershipsRemain conversant in client history and track all member interactions and maintain member profile information in Salesforce, create and disseminate member interaction documentation standards for Salesforce.Maintain master contacts and email distribution lists, and develop content and story ideas for member communications, newsletter and surveys
  
  Legal & Professional Services
  
  Collaboration with President & CEO for contract preparations, review & negotiationsCoalition MembersVendorsJoint network products development, marketing and oversightWrap Network Programs & Services opportunities review & program(s) marketing
  
  Regulatory Compliance
  Member education and support on regulatory topics such as Consolidated Appropriations Act (CAA) provisions for self-funded health plan sponsorsCompliance activities related to the provider network aspects of CAA including Transparency in Coverage machine readable files production and maintenance; No Surprises Act support, Mental Health Parity review and documentation, annual fee disclosures,Other Duties as required
  
  
  
  
  
  
  
  
  
  
  
  Experience Required:
  
  
  Minimum Bachelors degree from an accredited college or university;
  
  3 + years related work experience, primarily including client services functions, such as strategic account creation and execution;
  
  Demonstrated knowledge relative to local market forces and purchaser leadership in health care reform
  
  Demonstrated ability and proven track record to create and foster strategic relationships with key stakeholders at member organizations;
  
  Demonstrated ability to respond to and use healthcare data to inform strategic decision-making;
  
  Excellent oral, written, and interpersonal communication skills;
  
  Proven ability to work within a team and to foster teamwork;
  
  Strong planning, problem-solving, time management, organizational and prioritization skills.
  
  Knowledge of PC-based Word, Excel, Access, Power Point, Outlook, and SalesForce.
  
  This is a full-time position reporting to the Chief Executive Officer.
  
  Read Less

  Apply Now

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