Provider Relations Specialist

Provider Relations Specialist

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

The Provider Relations Specialist is responsible for establishing and maintaining positive relationships with various providers across all markets in the Value Hub, building strong, cohesive partnerships. The role is responsible for driving provider engagement and strong communication, supporting network development, managing and improving provider performance, sharing data and insights, and supporting the implementation of quality and care initiatives in partnership with other teams across the Value Hub. Works with internal staff, and other contracted entities to deliver contractual performance standards and ensure customer service objectives are continually met.

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

• Experience in marketing, sales or customer service in a health care setting required.
• Strong business acumen, customer service skills, follow-up, organizational and project management skills to ensure objectives and deadlines are consistently met.
• Bachelor's degree and/or equivalent experience OR 3 or more years' experience working in a similar position in the healthcare industry; or an equivalent combination of training and experience that provide the capabilities needed to perform the job duties.
• Experience working as an account manager in value based programs preferred.
• Valid driver's license and/or reliable transportation required for travel.
• Ability to establish and maintain positive business relationships, negotiate favorably, collaborate with others, and build consensus both externally and internally to achieve desired results.
• Demonstrated ability to understand and interpret laws, rules and regulations as defined under state and Federal statutes along with remaining current on Healthcare Reform updates and changes.
• Ability to understand Summary Plan Descriptions, Benefit Summaries, internal operations workflows, and claims policies & procedures. Strong problem-solving abilities.
• Ability to identify issues and problems within administrative processes activities, and other relevant areas.
• Familiarity with value-based care health arrangements and programs.
• Ability to understand insights and trends from dashboards and analyzed data outputs to share and recommend practice and operational improvement opportunities to providers.
• Ability to maintain strict confidentiality at all times.
• Ability to continually re-prioritize to meet the needs of internal and external customers throughout the workday. Thorough knowledge of generally accepted professional office procedures and processes.

Physical Requirements- Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally