Provider Relations Lead

Miami, FL

Full Time

Mid Level

SUMMARY

The Provider Relations Lead will ensure on-going network development for the area assigned to them. They will provide direction and close guidance in managing on-going transportation supplier relationships through communicating with all Transportations Providers. They will overall contracting process and safeguard contract fulfillment of insurance requirements and credentialing requirements for vehicles and drivers; will provide leadership support on the development, implementation and execution of all deployments, special projects, or other Network Health related actions. The Lead of Provider Relations will ensure adherence to relevant federal and state laws, contract standards, and Alivi's ethical standards.

DUTIES & RESPONSIBILITIES

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.
Negotiates with provider network to meet budgeted costs, including rate exception oversight.
Application of corrective action plans for transportation provider contract deficiencies and recommends liquidated damages if necessary.
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.
Assumes primary responsibility and leadership for quarterly provider meetings.
Responsible for platform utilization (transition & implementation): first point of contact and first call resolution for Providers as subject matter expert for initial and on-going platform initiatives.
Other duties as assigned.
Client Relationships
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.

Supervision
Responsibilities include interviewing, hiring, training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Data Collection, Maintenance and Reporting
Provides weekly network health reports to the Director of Operations including but not limited to unit cost, rate exception, network development, network digitization and platform utilization.
Participates in staff meetings.
Other job duties as assigned by management.

REQUIREMENTS & QUALIFICATIONS

Bachelor’s degree preferred in Business, Logistics, Marketing or another related field.
5+ years of experience in transportation services and provider network development required.
2 years staff supervisory experience required.
Negotiation and contract management experience is preferred.
Knowledge of transportation provider costs, pricing strategies, budget management, budget preparation and reporting required.
Must have a valid driver’s license.
Must be able to pass DMV record check.
Driving record must remain in compliance with Alivi’s driver qualification standards.
Must be able to use a hands-free mobile phone.
Knowledge of and proficiency in quality improvement tools and processes
Demonstrates strong verbal, written and interpersonal skills.
Ability to work independently with minimal supervision or with a team a must.
Must be self-motivated and possess superior time management skills.
Demonstrated software skills to include proficiency in Microsoft Office: Excel, Outlook and Word
Must have proven experience dealing with conflict management.
Excellent people management skills
Public speaking skills
Familiarity with Medicare/Medicaid and private Non-Emergency Medical Transportation

COMPETENCIES

Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments

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Provider Relations Lead

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