Northpoint Recovery

Business Development Rep

• Develop and execute a business plan designed to meet and exceed financial, market, and operational goals for the territory
• Service existing referral sources and establish new referral sources by planning and organizing daily work to increase awareness and drive revenue
• Adjust presentation content based on the type of referral source
• Plan territories to retain and penetrate existing referral sources, cultivate new community partners, and convert high-quality revenue
• Work with internal teams to implement and train on solutions supporting successful client/patient outcomes
• Collaborate cross-functionally with BD representatives, Admissions, Billing, Marketing, and other internal support functions
• Utilize CRM and other methods for planning, forecasting, and business intelligence
• Execute established KPIs
• Keep leadership regularly informed of territory progress
• Prepare and operate trade shows, conventions, and/or clinical meetings
• Provide high-quality resource support to staff and treatment team
• Adhere to company policies and procedures
• Maintain confidentiality according to established policies, procedures, and standards of care
• Perform other job-related duties as assigned

Explore Business Development Specialist at Northpoint Recovery. Review requirements and application details.

Business Development Specialist

Manager

• Serve as the primary operational relationship owner for assigned health plans and payer partners
• Develop and maintain strategic relationships with payer representatives, network leaders, contracting teams, and other stakeholders
• Establish a structured payer engagement cadence for high-impact payer relationships
• Identify and escalate payer issues affecting patient access, reimbursement, authorization, claims payment, or operational performance
• Partner with Revenue Cycle Management and Utilization Review leadership on payer issue resolution
• Monitor payer and market developments for financial, operational, and access opportunities or risks
• Support payer strategy for new markets, de novo facilities, acquisitions, new service lines, and geographic expansion
• Maintain a payer opportunity and escalation pipeline
• Provide executive-level reporting on payer relationships, negotiations, network development, reimbursement opportunities, and material risks
• Develop payer negotiation strategies with the EVP of Revenue Cycle Management and Finance
• Build scalable multi-state licensing and credentialing processes
• Evaluate reimbursement performance and identify contracts or rates requiring renegotiation
• Maintain payer contract summaries covering reimbursement terms, authorization requirements, timely filing provisions, appeals, exclusions, and termination provisions
• Quantify the financial impact of proposed rate changes and contract amendments with RCM analytics
• Identify opportunities to expand network participation and improve patient access
• Ensure negotiated contract terms are operationalized across Admissions, Utilization Review, Clinical Operations, Billing, and other functions
• Manage the full lifecycle of contract management, negotiations, rate increases, HCPCS/CPT requirements, and professional services
• Manage in-network and out-of-network contracting and negotiations for the organization and employed providers
• Coordinate credentialing and recredentialing applications with clinical operations, licensing agencies, insurance carriers, and other organizations
• Maintain licensing, contracting, and credentialing databases and develop related processes and procedures
• Monitor entity-specific, accrediting organization, payer, state, and federal requirements and implement necessary changes
• Analyze reimbursement by payer, authorization barriers, contractual adjustments, overpayments, underpayments, out-of-network exposure, network adequacy, rate performance, contract compliance, and patient access barriers
• Perform other duties as assigned

Explore Manager, Payer Relations, Contracting, Credentialing at Northpoint Recovery. Review requirements and application details.

Open roles

Business Development Specialist

Manager, Payer Relations, Contracting, Credentialing