Benecard Services, LLC · 2 weeks ago
Director, Provider Relations
Clifton, NJ
Full-time
Onsite
Lead/Staff, Director/Executive
$80K/yr - $100K/yr
5+ years expBenecard Services, LLC is seeking a Director of Provider Relations to establish and maintain strategic relationships with healthcare providers. This role is focused on enhancing the quality of care and supporting the organization's growth goals through effective provider communications and strategic initiatives.
Health CareMedical
Responsibilities
Work closely with the Vice President to develop and implement a comprehensive provider relations strategy to foster strong partnerships with key providers and retail providers, including a strategic plan for network reimbursements
Act as liaison between the NVA and healthcare providers, addressing inquiries, concerns, and feedback
Creation and maintenance of a customer service model for internal and external customers
Identify opportunities for new partnerships and negotiate contracts with healthcare providers with the Vice President
Analyze market trends and provider network performance to inform strategic decisions
Ensure compliance with regulatory requirements, as applicable and industry standards
Management of on-going provider communications (ECP and Retail)
Initiates and implements processes of ensuring the website and provider directory accurately contains current information
Creates and maintains databases for enrollment, complaints, etc. and provides trend analysis
Creates Policies and Procedures that control the network functions
Communicates pertinent provider issues to applicable internal customers and the Vice President
Creates and maintains all provider manuals
Development of templates and management of Plan Sheets, including creation of manual sheets
Provider wake up process, including the drafting and coordination of mailing letters, based on group demographics
Ownership of any Internal Improvement Plans (IIPs) related to department functions
Oversees multiple projects simultaneously
Other duties as assigned
Qualification
Required
Bachelor's degree in business or related health care management field. Significant additional experience can be considered in lieu of a degree with some college
5 years' minimum experience in Network Management and Relationship Development of Health Care Plans and Providers in a capacity of a managed care or vision company
Excellent oral and written communication skills and able to communicate effectively with all customers
Computer skills with Microsoft office and with experience in MS Word, Excel, PowerPoint, Access and exchange or outlook email
Demonstrated leadership skills
Demonstrated strong organizational, analytical and problem-solving skills
Ability to multi-task, shifting back and forth effectively among multiple activities
Travel as required
Company
Benecard Services, LLC
Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase