Manager, Provider Relations

About this role   

The Manager, Provider Relations acts as a player coach for implementation, coordination, and development of engagement strategies with key provider partners on behalf of Transcarent. This role will require developing strong relationships between Transcarent’s cross-functional teams and Provider Panel partners to facilitate responsiveness to meet member needs, communication to meet provider needs, and access to data to support enterprise sales and account management needs. The player portion of the role involves direct, hands-on task engagement that is critical to meeting the business needs and team goals. The coach part of the role involves direct management of a small team working on provider relations tasks.  

What you’ll do  

• Assume accountability for key provider relationships on behalf of the overall organization as needed, and managing a small team of provider relations executives and associates (about 6 people)
• Ensures the timely and effective communication internally and externally, as well as the resolution of open items related to providers 
• Troubleshoot and resolve items escalated by direct reports related to providers and their day-to-day interactions with Transcarent
• Manage reports via Salesforce that ensure case closures and on budget performance as needed
• Support the strategies of the Senior Vice President of Provider Relations, including the flow down for department goals into individual goals
• Assist in resolving billing errors by Centers of Excellence (COE’s) and collaborate with Transcarent revenue cycle & payment operations to resolve any claims or payment roadblocks 
• Manage relationship with facility administrators, physician practice leaders and key decision-makers within Provider Organizations as appropriate to meet Transcarent’s business needs.  
• Act as a single point of contact to establish and manage ongoing meetings with Providers to discuss operational and business updates  
• Lead the collection of information used to develop provider profiles that reflect all Transcarent COEs and contacts  
• Lead implementation of newly contracted providers   
• Support the communication of Transcarent initiatives, enterprise pipeline developments, and product updates to internal and external stakeholders  
• Develop and maintains relationships with key partners both internally and externally  
• Partner with providers to grow programs with a strong emphasis on providing the highest quality of care with a concierge approach to creating a first-class member experience  
• Monitors the health of all relationships between Transcarent and all Provider Panel partners  

What we are looking for  

• Five (5) years in a role requiring relationship development resulting in solution management with healthcare providers
• Two or more (2+) experience managing a small team or acting as a player coach role
• Knowledge and experience managing value-based contracts and relationships  
• Strong verbal and written communication skills  
• Familiarity with reporting, case tracking, etc.. From tools such as Salesforce
• Strong presentation skills of clinical/financial data to drive key performance metrics  
• Ability to develop and foster relationships with a variety of personalities at different organizational levels  
• “Corner office” skills that can manage executive relationships  
• Monitoring the health of all relationships between the organizations.  
• Proficient in Microsoft Suite  
• Bachelor’s Degree  

• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments 
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed 
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. 
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. 
• Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity