Provider Relations Specialist (Full Time, Remote, North Carolina Based)

Alliance Health•Durham, NC

7h•$33 - $43•Remote

About The Position

The Provider Relations Specialist is responsible for maintaining a strong and stable provider network by facilitating key recruitment related activities for existing services and maintaining positive, ongoing relationships with health care providing entities. This position will cultivate new provider relationships and provide ongoing provider support. This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.

Requirements

Bachelor’s degree in a Human Services field from an accredited college or university and three (3) years progressive post-degree experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health; OR Master’s degree in Human Services from an accredited college or university with one (1) years post graduate experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health.
Knowledge of Alliance’s goals, targets, and outcomes in relation to the responsibilities of the Provider Network Operations department.
Knowledge of all disability areas including Mental Health, Substance Use and Developmental/Intellectual Disabilities
Knowledge and understanding of principles, concepts, and Best Practices used in the treatment, habilitation and support of individuals with needs in any of the disability areas
Knowledge and understanding of the different systems that impact Providers
Microsoft Office suite, including Excel
Proficient with database maintenance
Exceptional interpersonal skills
Highly effective Communication skills
Problem solving skills
Organizing skill
Conflict resolution skills
Effective public speaking and training skills
Strong mediation skills in order to facilitate collaboration and positive relationships
High Level of diplomacy and discretion to effectively negotiate and resolve issues independently
Ability to build relationships
Ability to make prompt independent decisions based upon relevant facts
Ability to review and analyze data in an effort to evaluate program effectiveness, progress, problems, and system performance
Ability to work effectively with others internally and externally
Ability to effectively identify problems, and initiate solutions
Ability to take initiative and utilize critical thinking

Nice To Haves

Experience working in a Managed Care Organization and specifically working with Provider Networks is preferred.

Responsibilities

Manage assigned recruitment projects and resources
Collaborate with Provider Relations team and create strategies for meeting network growth
Assist in recruiting and retaining qualified and capable providers
Plan and execute daily recruitment call schedule and approach
Use various network reports, including network adequacy, etc., to identify network gaps in existing assigned networks and recruit providers so networks remain competitive and compliant with state and federal regulations
Track and report on recruitment interactions and cycle stages using various application tracking mechanisms on a regular basis
Compile internal data to determine network needs and to increase network
Maintain professional relationship with the provider community.
Act as the point of contact for providers
Provide technical assistance to assigned providers.
Participate on assigned committees and in meetings to provide ongoing feedback using market conditions, industry trends, and provider insights.
Provide technical assistance and customer service to network providers, other departments, and external stakeholders. This could include researching and troubleshooting issues, collaborating with other departments
Research, identify, and negotiate contracts as needed within established time lines to support access to services
Be knowledgeable of assigned provider contracts with agencies and organizations in conjunction with Alliance’s Finance and Contract departments