Provider Relations Manager

Company: LogistiCare
Location: Charleston
Posted on: September 11, 2020

Job Description:

The Provider Relations Manager will ensure on-going network development and available contract rate capacity through commitment to overall network health for the area assigned to them. They will provide direction and close guidance in managing on-going transportation supplier relationships through communicating with all Provider Relations Coordinators. They will safeguard contract fulfillment of insurance requirements and credentialing of sub-contractor vehicles and drivers; will provide leadership support on the development, implementation and execution of all deployments, special projects or other Network Health related actions. The Manager of Provider Relations will ensure adherence to relevant federal and state laws, contract standards, and LogistiCare's ethical standards. ESSENTIAL FUNCTIONS Provider Network Functions Ensures overall network health for the assigned market/area through on-going network development and individual provider relations support Executes on-going network development to prevent network deficiencies and meet or exceed budgeted unit cost Manages transportation provider network contracts to ensure that performance criteria are met and maintained Oversees the onboarding of transportation providers to include contracting and negotiating rates. Ensure credentialing policies are followed and standards are adhered to Develop metrics and implement plans to execute on-going network development to manage network deficiencies Ensure delivery and review of the provider performance reviews Negotiates with provider network to meet budgeted costs, including rate exception oversight Application of corrective action plans for transportation provider contract deficiencies and recommends liquidated damages if necessary Engages in provider relations support to initiatives for overall provider business management support (i.e. assisting with grants for vehicles, strategies for hiring and maintaining quality drivers) Responsible for overall Network Digitization and assumes role of subject matter expert for all digitization initiatives Assumes primary responsibility and leadership for quarterly provider meetings Responsible for platform utilization (transition & implementation): first point of contact and first call resolution for Providers as subject matter expert for initial and on-going platform initiatives. Other duties as assigned. Client Relationships Develops ongoing relationship with transportation providers & outside agencies relevant to network health and provider business support Manages problem resolution and quality monitoring including provider complaint reports Supervision Responsibilities include interviewing, hiring, training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Data Collection, Maintenance and Reporting Provides weekly network health reports to the Director of Provider Relations including but not limited to unit cost, rate exception, network development, network digitization and platform utilization. POSITION QUALIFICATIONS Competency Statement(s) Analytical Skills - Ability to use thinking and reasoning to solve a problem Communication, Oral - Ability to communicate effectively with others using the spoken word. Communication, Written - Ability to communicate in writing clearly and concisely. Decision Making - Ability to make critical decisions while following company procedures. Interpersonal - Ability to get along well with a variety of personalities and individuals. Management Skills - Ability to organize and direct oneself and effectively supervise others. Problem Solving - Ability to find a solution for or to deal proactively with work-related problems. Relationship Building - Ability to effectively build relationships with customers and co-workers. Education Bachelor's degree preferred in Business, Logistics, Marketing or other related field Experience 5+ years of experience in transportation services and provider network development required 2 years staff supervisory experience required Negotiation and contract management experience is preferred Knowledge of transportation provider costs, pricing strategies, budget management, budget preparation and reporting required Driving Requirements: Must have a valid driver's license Must be able to pass DMV record check Driving record must remain in compliance with LogistiCare's driver qualification standards Must be able to use a hands-free mobile phone SKILLS & ABILITIES Knowledge of and proficiency in quality improvement tools and processes Demonstrates strong verbal, written and interpersonal skills Ability to work independently with minimal supervision or with a team a must Must be self-motivated and possess superior time management skills Demonstrated software skills to include proficiency in Microsoft Office: Excel, Outlook and Word Must have proven experience dealing with conflict management Excellent people management skills Public speaking skills Familiarity with Medicare/Medicaid and private Non-Emergency Medical Transportation Computer Skills Proficient in Microsoft Word, Excel, and Outlook Ability to learn proprietary software system PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Able to sit at and work on a computer for periods of time - Able to use the phone for periods of time - Able to lift up to 10 pounds and reach/bend to retrieve items in cabinets and shelves - Required to be at the work location to perform job functions - Ability to speak, hear and see for the assigned work day - Repetitive key stroke/data entry for the assigned work day - Ability to ambulate as needed for the assigned work day WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Approximately 30% of work time is conducted in an office setting and approximately 70% of work time involves travel. The noise level in the primary work environment is usually loud. LogistiCare is an Equal Opportunity Employer. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Keywords: LogistiCare, Charleston , Provider Relations Manager, Executive , Charleston, West Virginia