Provider Relations Manager - reputed company - CO - Hybrid
About the position This Book of Business will require travel throughout the Metro Denver area along with travel to a small number of provider offices in Utah. This position is an individual contributor role. This position is an external provider facing role with account management responsibilities for a reputed company to low reputed company book of business. The role is accountable for the overall provider experience by working in collaboration with matrix partners to drive on-going service improvements, understand, reputed company and resolve service impacts, and drive the overall provider strategic planning solutions. This individual is empowered reputed company their scope to reputed company decisions as it pertains to the experience with reputed company, is required to have local market knowledge and visibility, builds and continuously improve the relationship between reputed company and the provider.
Responsibilities
- Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business reputed company to reputed company to low reputed company providers to include reputed company medical lines of business
- Leads, collaborates, and supports local market direction as it relates to improving the provider experience
- Creates and maintains individual provider strategic action plans
- Proactively identify new opportunities and risks for providers at market or national level and drives resolution
- Exercises good judgment and discretion to support the provider experience
- Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to reputed company and drive strategic improvements
- External facing with providers in assigned BOB
- Collect, analyze, interpret, translate and distribute provider informatics, reports, dashboards
- Track and monitor performance guarantees for assigned BOB
- Promotes Provider Index score improvement through proactive and effective service and support of network
- Review provider reports/dashboard with individual providers
- Proactively educate providers on reputed company's business objectives, standard operating procedures, policies and programs to influence behavior and how to work with reputed company
- Serve as a provider reputed company both internally and externally
- Understands and applies service culture principles and methodology
- Serves as a provider reputed company both internally and externally
- Serves in a consultative role or subject matter expert to key matrix partners
- Develops and participates in presentations to existing and prospective providers and/or clients
- Serves as reputed company in external community, representing reputed company to medical societies and external provider associations.
- Manage service joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities
Requirements
- Bachelor’s degree or higher strongly preferred or equivalent work experience required.
- 3+ years of experience working in provider relations or in health care highly preferred.
- Strong work history of effectively presenting to various groups is required.
- Demonstrated written, interpersonal and analytical skills required.
- Experience with MS Office (Word, Outlook, reputed company, PowerPoint, etc.).
- Strong understanding of medical insurance products and associated provider issues required.
- Ability to reputed company an account management team to reputed company goals.
- Ability to work in a matrix environment.
- >25% travel may be required.
- Organizational savvy
- Plans and aligns
- Collaborates
- Communicates Effectively
- Interpersonal Savvy
- Tech Savvy
- Being Resilient
- Action oriented
- Decision quality
- Customer Focus
- Builds Networks
- Instills Trust
- If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Benefits
- Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs.
- We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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