Alliance HealthAH

Provider Relations Specialist (Full-time Remote, North Carolina based)

Alliance Health

Salary: 64k-81k USD

United States only
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The Provider Relations Specialist is responsible for maintaining a strong and stable provider network by facilitating key recruitment related activities for existing services and maintaining positive, ongoing relationships with health care providing entities. This position will cultivate new provider relationships and provide ongoing provider support.

The position will require limited travel to Home office, located in Morrisville, NC, for meetings/training and potential travel to provider sites for meetings as needed.

Responsibilities & Duties

Recruit Providers to ensure an adequate Network of Providers

  • Manage assigned recruitment projects and resources
  • Collaborate with Provider Relations team and create strategies for meeting network growth
  • Assist in recruiting and retaining qualified and capable providers
  • Plan and execute daily recruitment call schedule and approach
  • Use various network reports, including network adequacy, etc., to identify network gaps in existing assigned networks and recruit providers so networks remain competitive and compliant with state and federal regulations
  • Track and report on recruitment interactions and cycle stages using various application tracking mechanisms on a regular basis
  • Compile internal data to determine network needs and to increase network

Develop and Maintain relationships with the Provider community

  • Maintain professional relationship with the provider community.
  • Act as the point of contact for providers
  • Provide technical assistance to assigned providers.
  • Participate on assigned committees and in meetings to provide ongoing feedback using market conditions, industry trends, and provider insights.
  • Provide technical assistance and customer service to network providers, other departments, and external stakeholders. This could include researching and troubleshooting issues, collaborating with other departments

Contract Responsibility

  • Research, identify, and negotiate contracts as needed within established time lines to support access to services
  • Be knowledgeable of assigned provider contracts with agencies and organizations in conjunction with Alliance’s Finance and Contract departments

Minimum Requirements

Education & Experience

Bachelor’s degree in a Human Services field from an accredited college or university and three (3) years progressive post-degree experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health;

OR

Master’s degree in Human Services from an accredited college or university with one (1) years post graduate experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health.

Knowledge, Skills, & Abilities

  • Knowledge of Alliance’s goals, targets, and outcomes in relation to the responsibilities of the Provider Network Operations department.
  • Knowledge of all disability areas including Mental Health, Substance Use and Developmental/Intellectual Disabilities
  • Knowledge and understanding of principles, concepts, and Best Practices used in the treatment, habilitation and support of individuals with needs in any of the disability areas
  • Knowledge and understanding of the different systems that impact Providers
  • Microsoft Office suite, including Excel
  • Proficient with database maintenance
  • Exceptional interpersonal skills
  • Highly effective Communication skills
  • Problem solving skills
  • Organizing skill
  • Conflict resolution skills
  • Effective public speaking and training skills
  • Strong mediation skills in order to facilitate collaboration and positive relationships
  • High Level of diplomacy and discretion to effectively negotiate and resolve issues independently
  • Ability to build relationships
  • Ability to make prompt independent decisions based upon relevant facts
  • Ability to review and analyze data in an effort to evaluate program effectiveness, progress, problems, and system performance
  • Ability to work effectively with others internally and externally
  • Ability to effectively identify problems, and initiate solutions
  • Ability to take initiative and utilize critical thinking

Salary Range

$31.85 - $40.60/Hourly

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

• Medical, Dental, Vision, Life, Short and Long and Short Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

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About the job

Apply before

Aug 07, 2024

Posted on

Jun 08, 2024

Job type

Full Time

Experience level

Mid-level

Salary

Salary: 64k-81k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Alliance Health

Learn more about Alliance Health and their company culture.

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Alliance Health

Company size

View company profileVisit alliancehealthplan.org

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