Senior Provider Services Consultant

New
J
JobgetherHealthcare operations
Based in the United StatesContractSenior
Salary not disclosed
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Job Details

Experience
At least 4 years of professional work experience; minimum of 2 years of experience in vendor management, relationship management, or quality resolution.
Required Skills
Data AnalysisMicrosoft ExcelRelationship managementCRM

Requirements

  • Have a bachelor's degree or equivalent professional experience.
  • Have at least 4 years of professional work experience.
  • Have at least 2 years of experience in vendor management, relationship management, or quality resolution.
  • Healthcare, post-acute care, managed care, or durable medical equipment (DME) experience is preferred.
  • Demonstrate communication, presentation, and interpersonal skills for working with external providers and internal teams.
  • Have strong analytical and problem-solving abilities.
  • Be proficient in Microsoft Excel, particularly for reporting and data analysis.
  • Be organized and able to manage multiple priorities in a fast-paced environment.
  • Be able to identify performance issues, coordinate solutions, and support continuous improvement initiatives.
  • Be available for rotating weekend coverage.

Responsibilities

  • Oversee provider performance and service quality across the assigned region.
  • Act as the primary point of contact for provider concerns and coordinate resolution of service failures.
  • Manage provider performance improvement plans and monitor progress against objectives.
  • Track quality incidents, identify recurring issues, and implement corrective actions.
  • Collaborate with implementation teams to improve provider onboarding and training.
  • Monitor provider operations, including claims, billing, redelivery issues, and compliance with service standards.
  • Maintain provider information and activity records in the CRM system.
  • Prepare performance reports, scorecards, and analytical insights.
  • Support onboarding and training for new Provider Services team members.
  • Coordinate with internal stakeholders and participate in rotating weekend coverage.
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