Provider Relations Supervisor

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Formulate the provider relations strategy and annual operational plans in collaboration with the Provider Services Lead.

• Convert organizational objectives into measurable targets, roadmaps, KPIs, and staffing/resource plans.

• Mentor, assess, and develop Provider Network Representatives.

• Create escalation pathways, service levels, templates, and communication protocols.

• Manage account relationships for healthcare delivery organizations and independent providers.

• Address complex provider concerns and enhance provider satisfaction.

• Supervise provider onboarding, training sessions, webinars, portal instruction, EFT setup, credentialing coordination, and directory validation.

• Standardize onboarding checklists, timelines, and transitions.

• Supervise issues related to claims, credentialing, enrollment, provider data, contracts, and portal assistance.

• Handle queues, case aging, obstacles, work distribution, and adherence to SLAs.

• Conduct root-cause analyses and implement corrective measures.

• Create dashboards and regular performance reports.

• Foster continuous improvement and execute automation or template solutions.

• Utilize data insights to prioritize outreach, training, and process improvements.

• Collaborate with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT departments.

• Facilitate provider meetings and cross-functional workgroups.

• Ensure compliance, maintain audit-ready documentation, uphold confidentiality, and manage corrective actions.

• Communicate status updates, risks, and recommendations to executive stakeholders.

⛳️ Requirements

• Over 3 years of related experience.

• Proficiency in account management, key performance indicators (KPI), operational metrics, and problem-solving.

• Knowledge of quality compliance.

• MBI (T2) public trust requirement.

• Capability to work remotely.

• Travel requirement of less than 10%.

• US citizenship is not mandatory.

• Availability for a 40-hour work week.

🏝️ Benefits

• Options for medical plans, some with Health Savings Accounts.

• Choices for dental plans.

• Vision plan availability.

• 401(k) plan with both pre- and post-tax contributions up to IRS annual limits and company matching.

• Flexible work weeks where feasible.

• Paid leave for vacation, sick days, personal time, holidays, parental leave, military leave, bereavement, and jury duty.

• Short- and long-term disability benefits.

• Life insurance coverage.

• Insurance for accidental death and dismemberment.

• Personal accident insurance.

• Insurance for critical illness.

• Business travel and accident insurance.

• Identity verification process utilizing advanced biometrics and artificial intelligence.