Healthcare Provider Connections

Network DevelopmentContracting Consultants

What Do We Offer?

HCPC consultants represent Managed Care Organizations across the country in recruitment and contract negotiations with health care providers. We specialize in Medicaid, Medicare Advantage, SNP, LTC, Commercial managed care contracting and reimbursement methodologies.

We Get it Done! Reduce your development time by 40% by using our proven process

Healthcare Provider Connections utilizes industry leading CRM tools that track real time provider response to your contract. Reporting can be customized and changed to fit any organizations needs. Whether the company is small, medium or large, we can help you grow and increase membership by building a strong network of quality health care professionals.

Consultants at Healthcare Provider Connections have several years of experience working within managed care plans. Our company has a successful track record negotiating rates and contract language with hospitals, physician groups, and ancillary providers across the country

HCPC has a proven development system that allows us to contract with hundreds of providers within a short time frame. We collaborate with key decision makers in the provider communities to meet or exceed your contracting goals.

Our Network Development services include: •Initial market research•Identify and educate potential providers on your product•Negotiate managed care fee schedules and contract language•Collect LOI’s, LOA’s, and agreements from interested providers within any specified GSA•Create HSD tables for CMS•Write narrative and exception letters for CMS

Healthcare Provider Connections identifies and aligns resources to meet departmental objectives and coordinates those resources to ensure the successful delivery of contracts.

TP

A C

lien

ts

Contracted over 100,000 providers in 38 statesIncreased market expansion and new business opportunities

Co

mm

erci

al P

lan

sSaved plans over $200,00-$400,000 by reducing development time by 40%Negotiated national contract fee schedules, increasing ROI

Med

icar

e A

dva

nta

ge

Hired by 15 plans in 275 counties contracting over 200,000 Medicare providers Prepared CMS applications, tables and narratives

Man

aged

Med

icai

d

Hired by 12 Medicaid plans in 18 states where we contracted hundreds of providers in 60-90 daysSpecialize in CHIP, SNP, LTC, CBS contracting

Since 2006 HCPC has:

Increasing Your Business

Managed CareContracting

Provider Education& Orientation

Provider Outreach

Network Development

Healthcare Provider

ConnectionsStrategic Market Analysis

HCPCContractingApproach

Email/MailContracts

Provider Outreach, Education, Orientation

Virtual and In Person

Meetings

Social Media NetworkingStrategic Market

Analysis

Create Strong Relationships

HCPC Contracting Approach

Reduce Your Costs by Hiring a Consultant

The True Cost of an Employee….

Hourly rate – This one is easy. For this example, let’s use $75,000 per year as a pay rate, which equates to slightly more than $36 per hour for 2,080 hours per year.  One key difference with contractors is you only pay for productive hours.  Full-time employees are paid during non-productive hours, such as vacation, holidays and sick time.

Statutory costs – Social Security and Medicare cost employers 7.65% of a base salary plus federal and state unemployment insurance. For a $75,000 employee, this equates to more than $3 per productive hour worked.

Employee benefits – Full-family benefits such as health care costs, which rise each year, and 401k matching can equate to $8 per productive hour worked.

Training costs – The actual amount per employee depends on the type of job and varies from company to company. It is estimated that the cost per hour worked ranges from $0.50 to $2.50. Using contractors or consultants allows you to avoid paying for training courses, conferences, subscriptions and certifications.

Training time – Contractors and consultants are paid for hours worked. Companies pay only for the value created and not when a contractor is focused on non-productive tasks.  Five days of training per year equates to nearly $2,000 in lost productivity for an employee making $75,000. As such, use of a contractor abates approximately $1 per hour of training expense.

Reduce Your Costs by Hiring a Consultant

Vacation time – Like training, vacation cost is abated by using contractors. Depending on your time-off policy, you can avoid two to three weeks of cost. Two weeks of vacation equates to $4,000 per year for an employee making $75,000 or approximately $2 per productive hour. In addition, paid breaks can amount to an additional two to four hours per week.

Paid holidays – Most companies offer approximately ten days of paid holiday time, equating to $4,000 per year or $2 per hour.

Sick time – Depending on your policy, you may avoid the cost of between 5 and 10 sick and/or personal days. This equates to $2,000 to $4,000 per year or $1 to $2 dollars per productive hour worked.

Bad hire costs - Bad hires are expensive.  Studies indicate that the cost of a bad hire is two and a half to three times the employee’s salary.  This cost is avoided with contractors, who can be terminated with little headache if things don’t work out.  If one in thirty hires is a bad one, then we should increase the hourly rate by 10% per productive hour work.

Hiring costs – Hiring is an expensive process. Significant management time is invested in gathering resumes, screening resumes, making calls to candidates, testing, scheduling interviews, conducting interviews, evaluating and choosing a candidate, negotiating the offer, and repeating the process if the candidate does not accept. These costs can be reduced by using contractors. This management and human resources time can be focused in areas of greater value to the business. For the purposes of this example, I’ve included no allocation for hiring costs.

Separation costs – The unfortunate situation where you choose to terminate an employee creates costs for the company.  If the employee is laid off, severance costs are avoided. If the termination is performance-based, all of the time invested by HR and management on counseling, deliberations and termination are avoided. While incurring these costs are not certain, by using contractors you avoid this risk.  For the purposes of this example, I’ve included no allocation for separation costs.For a $75,000 resource, hard costs equate to approximately $22 per productive hour worked or nearly $40,000 per year!

Hiring- Managed Care Contracting Consultants – MUST have at least 5+ years working in a managed care health plan in Network Development and/or Provider Relations negotiating Medicaid, Medicare Advantage, Long Term Care , and Commercial contracts.

Experience: To be considered you must have at least 5+ verifiable years successfully building managed care networks for Medicare Advantage and/or Medicaid health plans. Candidate must have recent experience contracting with hospitals, ancillary companies, IPAs, PHOs, multispecialty physician groups, and Long Term Care providers

Education: Bachelor's degree required, MBA or MHA preferred, Must have excellent MS Office Suite skills and attend on going education and training

Job Description: Must have a home office, high speed internet and be available for travel. Work from home most of the time contacting required providers, track daily recruitment status using our customized web based CRM. Build relationships and trust with providers and collect their agreements and credentialing items within a set deadline.

Requirements: Clean MV record, valid license, pass criminal check and drug screen. Annual compliance training and testing

We are seeking qualified candidates for roles as Network Development Specialists:

Network Development Specialists - entry level recruiters: Contract negotiation and or mediation experience helpful. The right candidates will engage in one on one telephone calls with targeted providers to achieve agreement within expedited timeframes, be successful at creating quick dynamic relationships, be quick on your feet to convert and close agreements, maintain high quality data and pipeline details according to proven processes.

Skills: Bachelor’s degree with health care or sales experience preferred; Minimum of 1 year health care experience; familiarity with Medicare and Medicaid is helpful, some understanding of payor reimbursement methodologies, ability to negotiate effectively and collaboratively, familiarity with provider relations and network development processes is helpful, critical thinking skills and intermediate skills in Microsoft Word and Excel necessary.

Who do you want representing your company?

HCPC Real Job Advertisement

COMPETITORReal Job Advertisement

• Hires Professional Contracting Consultants with at least 5+ years contracting for a payor.

• All consultants must pass a rigorous screening process including extensive interviews, criminal background and drug screening

• Has consultants based across the country with established provider relationships in their service delivery area

• Builds Marketable Provider Networks in 60-90 days. Often hired when competing companies fail to complete the network

• Provide our clients with productivity reports so you know what the consultants accomplished each day

• Our consultants are available on short term notice. They can jump right in and get the job done

• Hires temp workers with little to no managed care contracting experience

• Interviews and hires over the phone with no known screening or background checks

• Has a call center where there is a high turnover

• Often fails to accomplish contracting goals for projects lasting 5-6 months

• No accountability for how time and your money is spent.

• Often agree to provide experienced consultants then scramble to find anyone available to work in their call center

Who do you want representing your company?

HCPC Competitor

What our Clients are Saying“Healthcare Provider Connections did a great job by quickly garnering effective contracting resources to help us build out provider networks for our Medicare Advantage Plan.”

-Arcadian Health Plan

“As a repeat customer for almost two years now, Healthcare Provider Connections is the first company we go to for consulting purposes and we keep several of her representatives almost year round. Her billing is timely and very easy to read and understand. We also receive a breakdown of the work and progress of each consultant for each week which is very helpful to us.”

-Aetna Medicaid

“Heather and her team of seasoned Medicaid Contracting Consultants were brought in and immediately hit the ground running. HCPC consultants were able to successfully negotiate agreements with hundreds of PCPs and Specialists in multiple counties over a very quick 60 day window to help IlliniCare meet its access requirements.

My colleagues and I were extremely impressed by the experience, knowledge and results we saw from HCPC and would not hesitate to hire them again as the opportunity arises.’’

- Centene Corporation

Healthcare Provider Connections, LLC

We Get it Done!

www.hcpcinc.cominfo@hcpcinc.com

Phone: 224-715-0115