Provider Specialist

VSP Vision Care•Cynthian, OH

2d•Remote

About The Position

Develop and cultivate productive relationships with providers, retail chains, strategic partners and their staff. Elevate providers’ understanding of how the company can maximize the growth of their practice. Educate providers on the company and it’s initiatives, leveraging team knowledge and resources. Demonstrate a broad knowledge of the organization's strategic direction to achieve growth objectives and operational goals. Act as an internal resource for business partners. Establish relationships and become an expert in the assigned region on plans, programs and products Build relationships that result in positive adoption, the achievement of Vision Care program targets and support of strategic initiatives. Research, analyze and resolve complex issues and escalations, coordinating with internal and external business partners when needed Negotiate and manage special provider contract arrangements and fees based on geographic patient access considerations, business needs, and client requests. Analyze practice structure and interpret legal documents submitted by providers in support of their practice ownership information Determine the routing of applications based on the analysis Demonstrate analytical and investigative skills to manage, troubleshoot and resolve network, retail, and other non-traditional provider issues Escalate issues to the appropriate business areas and drive solutions when applicable Gather and review client/provider information to determine network composition that ensures client (performance guarantee) needs are met Compose professional and concise correspondence to providers, retail chains, strategic partners, clients, office staff, and governmental agencies. Act as a communication focal point for critical provider outreach, during natural disaster relief efforts, activity recruitment, and surveys

Requirements

Bachelors degree in Business, Communications, or other related area or equivalent experience.
2+ years experience in a health care environment, preferably working with health care providers.
Demonstrated professionalism and leadership in dealing with situations involving controversy and conflict.
Experience handling and resolving escalated issues.
Advanced communication, influencing, and problem-solving skills.
Experience working directly with providers and staff on policies and procedures resolving complex issues.
Regularly exercise discretion and independent judgment in the performance of job duties.
Demonstrated ability to identify problems and provide creative solutions.
Strong attention to detail, multi-tasking, organizational skills, and customer service skills.
Proven ability to balance provider needs with corporate objectives.
Ability to work independently and in a team environment.

Responsibilities

Develop and cultivate productive relationships with providers, retail chains, strategic partners and their staff.
Elevate providers’ understanding of how the company can maximize the growth of their practice.
Educate providers on the company and it’s initiatives, leveraging team knowledge and resources.
Demonstrate a broad knowledge of the organization's strategic direction to achieve growth objectives and operational goals.
Act as an internal resource for business partners.
Establish relationships and become an expert in the assigned region on plans, programs and products.
Build relationships that result in positive adoption, the achievement of Vision Care program targets and support of strategic initiatives.
Research, analyze and resolve complex issues and escalations, coordinating with internal and external business partners when needed.
Negotiate and manage special provider contract arrangements and fees based on geographic patient access considerations, business needs, and client requests.
Analyze practice structure and interpret legal documents submitted by providers in support of their practice ownership information.
Determine the routing of applications based on the analysis.
Demonstrate analytical and investigative skills to manage, troubleshoot and resolve network, retail, and other non-traditional provider issues.
Escalate issues to the appropriate business areas and drive solutions when applicable.
Gather and review client/provider information to determine network composition that ensures client (performance guarantee) needs are met.
Compose professional and concise correspondence to providers, retail chains, strategic partners, clients, office staff, and governmental agencies.
Act as a communication focal point for critical provider outreach, during natural disaster relief efforts, activity recruitment, and surveys.