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Provider Network Supervisor

Accede Solutions Inc (accedesol.com)

Role overview

Qualifications

  • Bachelor's degree required; Master's preferred.
  • 7–10 years of experience in provider relations/network operations or related provider-facing functions.
  • 3+ years of supervisory/people leadership experience leading provider relations or customer operations teams.
  • Demonstrated expertise in provider engagement, onboarding, education, and issue resolution.

Responsibilities

  • Work in conjunction with the Provider Services Lead on Provider Relations strategy and annual operating plan.
  • Lead, coach, and develop Provider Network Representatives.
  • Oversee account management for healthcare delivery organizations and independent providers.
  • Direct end-to-end onboarding, provider education, webinars, portal training, EFT setup, credentialing coordination, and directory validation.

Key facts

  • Remote from: Anywhere
  • Fixed term
  • Expert & Leadership (>10 years)
  • English

Hard skills

Other skills

  • Analytical Skills
  • Microsoft Excel
  • Communication
  • Relationship Management
  • Coaching
  • Detail Oriented
  • Prioritization

About the company

Accede Solutions Inc (accedesol.com) logo

Accede Solutions Inc (accedesol.com)

Staffing & Recruiting

Accede Solutions is a Search firm providing services in multiple sectors. We have managed and Implemented Talent Acquisition and Talent Management processes and had successful engagement with clients in the areas of Financial Services, Technology, healthcare and professional services. We provide a full range of talent acquisition and management services designed to maximize the efficiency of your information management operation. From executive recruiting, to contract-to-hire placement, to contract employment, we offer solutions for your day-to-day workflow issues as well as workload spikes and special projects. We do also specialize in retained executive search focused on recruiting distinctive leaders and C level roles. With a track record of successfully recruiting key human capital leaders, we have earned a reputation for insightful and nuanced cultural advisory work built on a platform of strong capability supported by a rigorous and artful approach in assessing cultural fit. Accede Solutions Inc (www.accedesol.com) works with CEOs, CHROs, CPOs, CIOs, CMOs, heads of talent acquisition and other key stakeholders to develop thoughtful and strategic solutions around transitions in the human resources function. We are experienced in a range of industries, including retail/e-commerce, Financial Services, health & beauty, CPG, consumer goods, entertainment, telecom; Experienced search partner to small to mid-cap firms, growth-stage startups, private equity portfolio companies and non-profits.

Company details

Company typeSME
IndustryStaffing & Recruiting

Links

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Job description

Title: Provider Network Supervisor
Duration: 5 Months
Location: Remote

Position Summary
The Provider Network Supervisor is the manager responsible for the strategy, operations, and outcomes of the Provider Relations function supporting the Client Project.
This role leads a team of Provider Network Representatives to onboard and engage providers, deliver education and portal training, resolve issues impacting claims and participation, and maintain strong relationships across the network. The Supervisor partners closely with Provider Data, Credentialing, Contracting, Claims, Clinical Operations, Communications, and IT to ensure operational excellence and a high ‐ quality provider experience.

Key Outcomes & Success Metrics
  • Provider satisfaction: Achieve targeted satisfaction scores; improve first ‐ contact resolution; reduce escalations and repeat issues.
  • Onboarding timeliness: Meet/exceed SLAs for onboarding and participation activation; shorten cycle times; eliminate avoidable delays.
  • Issue resolution performance: Decrease average issue aging and backlog across claims, credentialing, enrollment, provider data, contracts, and portal support.
  • Portal adoption & engagement: Increase portal registration, self ‐ service utilization, EFT enrollment, and webinar attendance.
  • Quality & compliance: Maintain audit ‐ ready documentation; raise quality scores; sustain SLA compliance; reduce corrective ‐ action findings.
  • Productivity & effectiveness: Demonstrate year ‐ over ‐ year gains in staff productivity, training completion, and adherence to standardized workflows.

Essential Duties & Responsibilities Leadership & Strategy
  • Work in conjunction with the Provider Services Lead on Provider Relations strategy and annual operating plan; translate organizational goals into targets, roadmaps, KPIs, and staffing/resource plans.
  • Lead, coach, and develop Provider Network Representatives; set performance goals, conduct evaluations, provide ongoing coaching, and promote professional development.
  • Establish governance for escalation pathways, service levels, templates, and communication standards.

Provider Relationship Management
  • Oversee account management for healthcare delivery organizations and independent providers.
  • Serve as the escalation point for complex provider issues; drive timely resolution and communicate outcomes and prevention plans.
  • Monitor provider sentiment and satisfaction; synthesize feedback themes; implement action plans to improve the provider experience.

Provider Onboarding & Education
  • Direct end ‐ to ‐ end onboarding, provider education, webinars, portal training, EFT setup, credentialing coordination, and directory validation.
  • Standardize onboarding checklists, timelines, and handoffs with Credentialing, Provider Data, and Contracting; ensure accurate participation activation and directory integrity.
  • Develop targeted training and communications for provider segments and roles; measure adoption, comprehension, and impact on operational metrics.

Provider Operations & Issue Resolution
  • Oversee intake and resolution of issues spanning claims, credentialing, enrollment, provider data, contracts, and portal support; manage queues and case aging.
  • Remove blockers, rebalance work, and escalate cross ‐ functional dependencies; ensure SLA adherence and clear provider communication.
  • Lead root ‐ cause analysis and corrective actions to reduce repeat issues; coordinate with Claims, Data, and IT on systemic fixes and configuration updates.

Analytics, Reporting & Continuous Improvement
  • Develop dashboards and routine reporting on satisfaction, first ‐ contact resolution, onboarding timeliness, issue aging, portal adoption, quality scores, productivity, and SLA compliance.
  • Drive continuous improvement across intake, documentation, handoffs, and communication; implement automation or templates where feasible.
  • Use data insights to prioritize provider outreach, education topics, and process enhancements; present recommendations and action plans to leadership.



Cross ‐ Functional Collaboration
  • Partner with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT on shared initiatives and process improvements.
  • Align provider communications with contracting terms, credentialing requirements, portal capabilities, and claims processes; ensure consistency and clarity.
  • Lead provider meetings and cross ‐ functional workgroups; track actions to completion and report outcomes.
  • Risk, Compliance & Stakeholder Management.
  • Ensure compliance with organizational policies, privacy/security requirements, and applicable regulations; maintain audit ‐ ready documentation.
  • Support audits and quality reviews; develop corrective action plans and monitor remediation; maintain confidentiality of provider information.
  • Communicate status, risks, and recommendations to executive stakeholders; prepare materials for business reviews and governance committees.

Qualifications
Required
  • Bachelor's degree required; Master's preferred.
  • 7–10 years of experience in provider relations/network operations or related provider ‐ facing functions (onboarding, education, escalation management). (Elevated from baseline to reflect manager scope.)
  • 3+ years of supervisory/people leadership experience leading provider relations or customer operations teams. (Elevated from "preferred” in source.)
  • Demonstrated expertise in provider engagement, onboarding, education, and issue resolution; strong analytical and written/verbal communication skills.
  • Proficiency with provider portals, CRM/case management tools, and collaboration platforms; advanced Excel/Sheets capability.

Preferred
  • Experience supporting federal or government ‐ sponsored healthcare programs.
  • Familiarity with provider directory and credentialing requirements; exposure to claims operations and EDI.

Skills & Competencies
  • Relationship management and stakeholder communication; executive presence.
  • Operational excellence: organization, prioritization, attention to detail, and SLA discipline.
  • Analytical thinking; data ‐ driven decision ‐ making; dashboard and metric fluency.
  • People leadership: coaching, talent development, and performance management.
  • Process improvement and change management.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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