Director Provider Relations in Cypress, CA at Beacon Health Options

Date Posted: 9/14/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Director, Provider Relations to join our team. The Director, Provider Relations support and execute provider relations aspects of the provider strategy for existing business as set forth by Regional Operations and Partnerships leadership. Direct provider relations activities to maintain and enhance the Regional provider network for existing clients. Navigate Beacon’s matrix structure to engage, coordinate and support cross-functional Beacon stakeholders.

Position Responsibilities:

  1. Manage a regional Provider Relations team, ensuring day-to-day work is performed effectively and aligns with larger strategic objectives within the department and across the region, including financial targets.

  2. Lead PR team in ensuring satisfaction of providers as well as internal customers, clients and the regional leaders we support.

  3. Ensure compliance with internal, client, regulatory and accreditation standards as well as successful audit processes.

  4. Collaborate with Network Strategy leadership to execute on process improvement initiatives related to provider satisfaction impacts and root cause of issues, to achieve shorter provider inquiry response times and increase provider satisfaction.

  5. Serve as escalation contact for Regional Leadership on provider relations issues.

  6. Develop strong provider relationships built on trust and collaboration. Manage and balance Beacon stakeholder and provider expectations.

  7. Oversee coordination of practitioner and facility orientation and training.

  8. Collaborate with the Quality and Legal Departments to perform complaint and grievance resolution and communication.

  9. Contribute to provider communications such as newsletters, provider manual, mailings, and training.

  10. Support transition of new business to ongoing operations in collaboration with other Beacon teams and departments.

Position Requirements:

Education: Bachelor’s level in Business Administration, Management, Health Administration or other related field

 Licensure:  N/A

Relevant Work Experience:  

  • Minimum 5 years of progressively responsible professional experience in Provider Relations

  • Supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network.

  • Knowledge of reimbursement methodologies and model.

 Knowledge, Skills & Abilities:

  • Excellent written, oral, and presentation skills

  • Strong relationship building skills

  • Computer Skills: Microsoft Outlook and Word with Excel skills

  • Excellent communication and leadership skills to lead and motivate a growing and changing service operation; able to engage with directors and managers at all levels across the business to achieve goals and objectives

  • Demonstrated working knowledge of the health care industry and its impact on providers

  • Ability to manage and coordinate with internal and external departments

  • Able to work collaboratively with internal staff and external stakeholders (provider organizations, clients, etc.)

  • Ability to travel

Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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