Provider Relations Specialist III

About This Role

This role will build and operationalize a unified National Provider Relations structure, standardize processes and communication, and develop a scalable, enterprise-wide model for enhanced provider engagement across all markets, while also providing direct in-person provider relations support.

Responsibilities

• Build and operationalize a unified National Provider Relations structure and framework
• Standardize processes, strengthen communication pathways, and support the development of a scalable, enterprise-wide model
• Provide in-person provider relations support, serving as a direct liaison to providers
• Reinforce relationships, address operational concerns, and ensure consistent delivery of the national strategy at the local level
• Aid the planning and development of provider satisfaction strategies to improve network relationships and enhance provider engagement
• Support the development of provider relations programs to facilitate effective provider communications and problem resolution
• Create and distribute standard media materials and publications to providers independently
• Ensure providers adhere to regulatory and contractual requirements
• Escalate standard and nonstandard compliance issues to appropriate parties
• Gather materials to support organizational responses to regulatory audits
• Deliver provider education and/or onboarding

Nice to Have

• Foundational knowledge of provider/contract operations