Description
Inside Sales Specialist Job Type
Full-time
Newport, KY
JOB OVERVIEW This role is responsible for payer network expansion by prospecting, negotiating, and advancing managed care and payer contracts nationwide. The position is a sales-oriented, inside role focused on outbound outreach, relationship development, and execution of new in‑network payer agreements.
The ideal candidate is a proactive, self‑motivated sales professional who can independently organize, plan, and execute high‑volume outreach and follow‑up efforts, manage a contracting pipeline, and deliver measurable results. This individual will work closely with internal leadership, credentialing, legal, and billing teams to move contracts from initial contact through execution.
ESSENTIAL FUNCTIONS
Prospect, identify, and pursue new payer contracting opportunities across all states, with primary focus on:
Medicaid Managed Care Organizations (MCOs)
Regional and delegated networks and IPAs
Capitated plans
Conduct high‑volume outbound outreach via email and phone to payer and network decision‑makers
Manage payer relationships and contracting opportunities from initial contact through executed agreement
Lead payer discussions related to network participation, contract structure, and reimbursement terms within established parameters
Maintain an organized contracting pipeline, including outreach activity, responses, follow‑up cadence, and next steps
Coordinate with leadership, legal, credentialing, and licensing teams to support timely advancement and execution of contracts
Support contract renewals, amendments, and follow‑on negotiations as needed
Ensure contract documentation is accurate, complete, and maintained in compliance with internal record‑keeping policies
Communicate contract status, risks, and milestones to internal stakeholders
Identify and communicate payer trends, network barriers, and recurring objections across markets
Provide feedback to leadership to inform payer targeting and outreach strategy
Requirements PROFESSIONAL REQUIREMENTS
Three (3) or more years of experience in inside sales, business development, or payer contracting with a demonstrated focus on outbound prospecting
Proven ability to generate opportunities through cold outreach and persistent follow‑up
Strong negotiation and communication skills, with comfort engaging multiple stakeholders
Ability to manage long sales cycles and maintain momentum through disciplined follow‑up
Basic understanding of managed care organizations (MCOs), including payer, network, and delegated entity structures, and how providers contract for in‑network participation
Experience managing pipelines, activity tracking, and contract documentation
Operates with a sense of urgency and accountability to measurable outcomes
Strong organizational skills with attention to detail
EDUCATION AND EXPERIENCE REQUIREMENTS
Bachelor’s degree in a related field (preferred) OR
Equivalent professional experience in sales, healthcare services, or payer‑related roles
KNOWLEDGE, SKILLS, AND ABILITIES
Exceptional written and verbal communication skills, with particular strength in email‑based outreach
Strong time management and prioritization skills
Ability to work independently in a fast‑paced environment
Proficiency with Microsoft Office and CRM or pipeline management tools
Ability to adapt messaging and strategy based on payer feedback
PHYSICAL AND ENVIRONMENTAL DEMANDS
Position requires sitting, walking, reaching, bending, stooping, handling objects with hands and/or fingers, talking and/or hearing, and seeing
Position requires the ability to lift up to 50 lbs.
#J-18808-Ljbffr
Inside Sales Specialist Job Type
Full-time
Newport, KY
JOB OVERVIEW This role is responsible for payer network expansion by prospecting, negotiating, and advancing managed care and payer contracts nationwide. The position is a sales-oriented, inside role focused on outbound outreach, relationship development, and execution of new in‑network payer agreements.
The ideal candidate is a proactive, self‑motivated sales professional who can independently organize, plan, and execute high‑volume outreach and follow‑up efforts, manage a contracting pipeline, and deliver measurable results. This individual will work closely with internal leadership, credentialing, legal, and billing teams to move contracts from initial contact through execution.
ESSENTIAL FUNCTIONS
Prospect, identify, and pursue new payer contracting opportunities across all states, with primary focus on:
Medicaid Managed Care Organizations (MCOs)
Regional and delegated networks and IPAs
Capitated plans
Conduct high‑volume outbound outreach via email and phone to payer and network decision‑makers
Manage payer relationships and contracting opportunities from initial contact through executed agreement
Lead payer discussions related to network participation, contract structure, and reimbursement terms within established parameters
Maintain an organized contracting pipeline, including outreach activity, responses, follow‑up cadence, and next steps
Coordinate with leadership, legal, credentialing, and licensing teams to support timely advancement and execution of contracts
Support contract renewals, amendments, and follow‑on negotiations as needed
Ensure contract documentation is accurate, complete, and maintained in compliance with internal record‑keeping policies
Communicate contract status, risks, and milestones to internal stakeholders
Identify and communicate payer trends, network barriers, and recurring objections across markets
Provide feedback to leadership to inform payer targeting and outreach strategy
Requirements PROFESSIONAL REQUIREMENTS
Three (3) or more years of experience in inside sales, business development, or payer contracting with a demonstrated focus on outbound prospecting
Proven ability to generate opportunities through cold outreach and persistent follow‑up
Strong negotiation and communication skills, with comfort engaging multiple stakeholders
Ability to manage long sales cycles and maintain momentum through disciplined follow‑up
Basic understanding of managed care organizations (MCOs), including payer, network, and delegated entity structures, and how providers contract for in‑network participation
Experience managing pipelines, activity tracking, and contract documentation
Operates with a sense of urgency and accountability to measurable outcomes
Strong organizational skills with attention to detail
EDUCATION AND EXPERIENCE REQUIREMENTS
Bachelor’s degree in a related field (preferred) OR
Equivalent professional experience in sales, healthcare services, or payer‑related roles
KNOWLEDGE, SKILLS, AND ABILITIES
Exceptional written and verbal communication skills, with particular strength in email‑based outreach
Strong time management and prioritization skills
Ability to work independently in a fast‑paced environment
Proficiency with Microsoft Office and CRM or pipeline management tools
Ability to adapt messaging and strategy based on payer feedback
PHYSICAL AND ENVIRONMENTAL DEMANDS
Position requires sitting, walking, reaching, bending, stooping, handling objects with hands and/or fingers, talking and/or hearing, and seeing
Position requires the ability to lift up to 50 lbs.
#J-18808-Ljbffr