Provider Relations Lead
Team Leadership
Lead a team of Provider Relations Specialists, including assigning tasks, providing training and development opportunities, and conducting performance evaluations.
Relationship Management
Develop and maintain strong, collaborative relationships with healthcare providers, including physicians, hospitals, Tribal Organizations, Presumptive Eligibility Determiners, and clinics.
Issue Resolution
Serve as a primary point of contact for escalated provider inquiries, issues, and concerns, ensuring timely and effective resolution.
Education and Training
Educate providers on organizational policies, procedures, and services to enhance their understanding and support compliance.
Communications
Plan and execute communication campaigns to support client's initiatives and enhance public relations. Ensure consistent messaging and branding across all communication channels and platforms.
Network Development
Work with internal and external teams to expand and optimize provider networks, ensuring adequate coverage and quality of services through outreach activities.
Quality Improvement
Monitor provider performance metrics and collaborate with internal and external team members to identify opportunities for improvement in service delivery and patient outcomes.
Compliance Assurance
Ensure providers and provider relations staff adhere to regulatory requirements, contractual obligations, and accreditation standards.
Reporting and Analysis
Generate reports, analyze provider data, and present insights to senior management to support strategic decision-making and improve provider relations strategies.
Qualifications
- Bachelor’s degree in Healthcare Administration, Business Administration, or a related field (required) with 5 + years experience
- Previous experience in provider relations, network management, or healthcare administration, with demonstrated leadership experience
- In-depth knowledge of healthcare regulations, managed care principles, and payer/provider dynamics
- Strong negotiation, communication, and interpersonal skills, with the ability to build trust and rapport with providers
- Analytical skills with the ability to interpret data, identify trends, and propose actionable insights
- Proficiency in using MS Office Suite and experience with CRM software (e.g., Salesforce) is advantageous
Skills
- Leadership and managerial skills to effectively lead a provider relations team and drive collaboration
- Strategic thinking and problem-solving abilities to address complex provider issues and challenges
- Ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines
- Collaboration and teamwork skills to work effectively with internal departments and external stakeholders
- Adaptability and resilience to navigate changes in healthcare policies and organizational priorities
- Location: Remote
- Telecommuting Options: Remote Work Location
- Total Rewards: Includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match.
- Paid Time Off: Full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave.
- GDIT Paid Family Leave: Provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees.
- Identity Verification Process: Advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud.
- About Our Work: We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community.
Location
Remote however must be in US state GDIT