Director Provider Relations

Logisticare Inc   •  

South Portland, ME

Industry: Healthcare


Not Specified years

Posted 86 days ago

This job is no longer available.

Job Description

The Director or Provider Relations defines, implements, and maintains a compliant, effective and efficient Transportation Provider Network in their assigned market(s). They will ensure on-going network development and available contract rate capacity through commitment to overall network health.

The Director of Provider Relations will have operational responsibility for the management and successful leadership of all programs across their market(s). They will provide direction and close guidance in managing on-going transportation supplier relationships through communicating with all Provider Relations Managers/Coordinators. Reporting to the Network Regional Director they will manage the everyday workings of the Provider Relations program, including but not limited to overseeing implementations, trainings, remediate issues with Transportation Providers, ensure PRM compliance with appropriate procedures, and providing timely and accurate reporting to senior leadership. The Director of Provider Relations will provide leadership support on the development, implementation and execution of all deployments, special projects or other Network Health related actions.

Reporting Relationships:
HR oversight for Provider Relations & Network Operations Leadership

Departmental Relationships:
Director of Provider Relations has frequent and significant contact with field operations as well as internal corporate departments.

Network Capacity: consistent network development
Cost of Transportation (unit cost)
Company vehicle procurement & maintenance oversight for working group
HR oversight for Management level employees.
Liaise with Network Development team on capacity strategies , develop & oversee execution of action plans
Liaise with Network Services team on Provider compliance as part of Provider performance oversight
Ensures overall network health for the assigned market/area through on-going network development and individual provider relations support.
Executes on-going network development to prevent network deficiencies and meet or exceed budgeted unit cost.
Manages transportation provider network contracts to ensure that performance criteria are met and maintained.
Oversees the onboarding of transportation providers to include contracting and negotiating rates.
Ensure credentialing policies are followed and standards are adhered to.
Develop metrics and implement plans to execute on-going network development to manage network deficiencies.
Ensure delivery and review of the provider performance reviews.
Supports the negotiations with provider networks to meet budgeted costs.
Oversight of corrective action plan administrations for transportation provider contract deficiencies and approves liquidated damages as appropriate.
Approves new provider contracts, settlement deductions and other payments as needed.
Engages in provider relations support to initiatives for overall provider business management support (i.e. assisting with grants for vehicles, strategies for hiring and maintaining quality drivers)
Responsible for overall Network Digitization and assumes role of subject matter expert for all digitization initiatives.
Responsible for overall platform utilization (transition & implementation).
Other duties as assigned.

Excellent provider relations management
Advanced industry experience
Excellent process and design improvement skills
Strong risk management skills
Analytical Skills -- Ability to develop and use statistical, cost and financial / accounting evaluation tools and procedures
Communication, Oral - Ability to communicate effectively with others using the spoken word
Communication, Written - Ability to communicate in writing clearly and concisely
Decision Making - Ability to make critical decisions while following company procedures
Interpersonal - Ability to get along well with a variety of personalities and individuals
Management Skills - Ability to organize and direct oneself and effectively
Problem Solving -- Ability to find a solution for or to deal proactively with work-related problems
Relationship Building - Ability to effectively build relationships with customers and co-workers
Working Under Pressure - Ability to complete assigned tasks under stressful situations
Develops ongoing relationship with transportation providers & outside agencies relevant to network health and provider business support.
Manages problem resolution and quality monitoring including provider complaint reports.
Responsibilities include interviewing, hiring, training Provider Relations and Network Operations Managers and ensuring they maintain approved FTE for reporting positions; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Bachelor's degree or equivalent work experience

3 -- 5 years of relevant analysis experience
Experience in the medical or human services transportationpreferred

Strong analytical and reporting skills
Knowledge of organizational planning, budgetary administration and controls
Knowledge of statistical and financial analysis techniques
MS Office (Outlook, Excel, Word, PowerPoint)
Qlik Sense experiencepreferred

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Entire work time is conducted in an office environment in a controlled atmosphere building.
The noise level in the work environment is usually moderate.