Sr Provider Relations Specialist

About the role

The Senior Provider Relations Specialist serves as a primary provider-facing engagement and training resource responsible for driving successful adoption and utilization of digital prior authorization platforms across physician practices and healthcare organizations. This role will build and maintain strong relationships with physician partners, provider stakeholders, and internal teams throughout multiple phases of the provider lifecycle, including onboarding, implementation, training, ongoing support, and optimization.

Primary Responsibilities

• Supports the administrative operations of professional services delivered to health plans, providers and staff, including onboarding, training and ongoing support for new provider practices.
• Collaborates with internal business segments and executive leadership to develop and implement strategic initiatives.
• Responds to ad hoc provider practice requests for training and support.
• Develops and executes targeted campaigns to drive adoption and increase utilization of digital authorization platforms.
• Works with internal business partners including Marketing to design and deliver campaigns.
• Coordinates and delivers outreach strategies and promotes awareness, adoption, and successful implementation of programs, while serving as a trusted resource to address provider needs, gather feedback, and enhance the overall provider experience.
• Manages provider relationships.
• Cultivate and strengthen relationships with healthcare providers, practice staff, and health plan partners.
• Reviews and processes practice records to ensure provider data is accurately captured and updated.
• Affixes data entry, maintenance, validation and reconciliation activities to support data integrity within Salesforce and other related systems, ensuring accurate provider information to support operational workflows and provider engagement initiatives.
• Assists with health plan-based incentive program by delivering provider education, analyzing performance data, and reports to monitor outcomes and support program objectives.
• Partners cross-functionally with Product Development, Engineering Teams and other business stakeholders to define, implement and optimize provider data processes.
• Supports the planning, coordination, and execution of key components of the Provider Satisfaction Survey.
• Review and act upon recommendations for improvements brought forth by providers to improve workflow processes and provider satisfaction.

Requirements

• Bachelor Degree in a related field or an equivalent combination of education, training, and experience is required.
• Typical years of experience are 5-7 years in the health care industry or relevant educational attainment.

Skills

• Skilled in coordinating multiple projects simultaneously.
• Requires the ability to relate in a respectful, professional, courteous manner with employees and outside entities.
• Must possess expert training and presentation skills required to effectively lead webinars and related educational efforts.
• Experience with Salesforce or other CRM platforms preferred.
• Advanced proficiency with Microsoft Office Suite preferred.
• Familiarity with Zendesk or other customer service software platform is a plus.

About You

The Senior Provider Relations Specialist role requires a Bachelor's degree in a related field or an equivalent combination of education, training, and experience. Typical years of experience are 5-7 years in the health care industry or relevant educational attainment. Must possess expert training and presentation skills required to effectively lead webinars and related educational efforts. Experience with Salesforce or other CRM platforms preferred. Advanced proficiency with Microsoft Office Suite preferred. Familiarity with Zendesk or other customer service software platform is a plus.

About the Location

OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide but work primarily in the Eastern and Central Time Zones. Our Culture Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first! We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!

The Opportunity

The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!

Our Current Solutions

• Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment.
• OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is the paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape.
• OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff.
• OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.