Provider Relationship Manager

About the role

Develop, maintain, and cultivate productive relationships with providers, retail chains, strategic partners, and their staff. Ensure providers' understanding of how the company can maximize the growth of their practice. Educate providers on the company and its initiatives, leveraging team knowledge and resources.

Responsibilities

• Manage assigned region, working with others to ensure support of the department.
• Establish relationships and become an expert on plans, programs, and products.
• Exercise critical thinking and analytical skills in the initial entry and maintenance of provider data, ensuring the integrity of all shared provider information.
• Resolve complex issues and escalations, coordinating with internal and external business partners when needed.
• Negotiate and manage special provider arrangements based on geographic patient access considerations, business needs, and client requests.
• Analyze practice structure and documents submitted by providers in support of their practice ownership information.
• Determine document routing based on analysis.
• Manage, troubleshoot, and resolve network, retail, and other non-traditional provider issues.
• Escalate issues to the appropriate business areas and drive solutions when applicable.
• Gather and review client/provider information to determine network composition that ensures client (performance guarantee) needs are met.
• Compose professional and concise correspondence to providers, retail chains, strategic partners, clients, office staff, and governmental agencies.
• Act as communication focal point for critical provider outreach during natural disaster relief efforts, activity recruitment, and surveys.
• Demonstrate a broad knowledge of the organization's strategic direction to achieve growth objectives and operational goals.
• Act as an internal resource for business partners.

Requirements

• Bachelor's degree in Business, Communications, or other related area or equivalent experience.
• 2+ years of experience in a health care environment or customer/client services.
• Demonstrated professionalism and leadership in dealing with situations involving controversy and conflict, experience handling and resolving escalated issues.
• Demonstrated advanced communication, influencing, and problem-solving skills.
• Experience working directly with providers and staff on policies and procedures, resolving complex issues.
• Regularly exercise discretion and independent judgment in the performance of job duties.
• Prioritize provider needs while balancing corporate objectives.

Qualifications

• Ability to work independently and in a team environment.

Skills

• Knowledge of the organization's strategic direction.
• Professionalism and leadership.
• Communication, influencing, and problem-solving skills.
• Experience working with providers and staff.
• Discretion and independent judgment.

Benefits

Not specified.

Pay

$58,656.00 - $92,328.00

Schedule

Not specified.