Partner Relations Specialist

Role Overview

• Creates a customer-focused, provider experience by listening to the customer and providing timely, clear, and consistent communication.
• Address grievances
• Provider Education
• Provide expertise and resources on issues affecting provider satisfaction and network retention. Conduct research, analysis, and coordinate timely resolution of complex provider concerns and appeals by engaging directly with providers and internal partners.
• Creates customer loyalty and improves retention by establishing and maintaining positive, collaborative relationships with providers and their office staff through proactive communication, delivering exceptional service, and prompt resolution of issues.
• Represents the organization in a positive and professional manner.
• Communicates effectively and efficiently both verbally and in writing.
• Provides accurate and updated information to providers.
• Responds timely (within department standards) to provider issues, works with other teams to resolve issues, and updates providers and office staff regularly through to resolution.
• Collaborates with internal stakeholders and other subject matter experts (ie credentialing, roster management, etc.) to effectively resolve issues.
• Performs high-quality work following standard operating procedures, ensuring accuracy and consistency in all interactions.
• Escalates issues following department guidelines to ensure timely resolution and customer satisfaction.
• Resolve customer interactions on the first call or contact when possible.
• Researches and uses problem solving skills to answer questions accurately and timely.
• Documents issues addressed and monitors for trends.
• Performs high quality work following standard operating procedures.
• Escalates issues following department guidelines.
• Performs other duties as assigned.

Requirements

• Bachelor's degree or equivalent experience preferred
• Provider Representative/Relations experience required
• Health care account Management experience preferred
• High Volume-Call center experience preferred
• Proven problem-solving abilities, with a focus on delivering effective solutions and prompt issue resolution.
• 3+ years of customer service-related work is preferred.
• Experience in Medicare Fee-for-Service, ACO programs (ACO, ACO REACH, MSSP), and Commercial, Medicare Advantage programs preferred.
• Strong Relationship Management abilities.
• High level of professionalism and collaboration.
• Excellent communication, customer service, problem-solving, organizational, and time management skills.
• Knowledge of Value Based and ACO payment methodologies.
• Knowledge of Credentialing functions and Payer and ACO roster management functions.

Benefits

• Competitive base compensation
• Annual bonus potential
• Health benefits effective on start date
• Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date
• 401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary
• 5 sick days and unlimited (or generous) paid "Vytal Time" after your first 90 days
• Company paid STD/LTD
• Technology setup
• Ability to help build a market leader in value-based healthcare at a rapidly growing organization