Provider Relationship Account Consultant
Core
Manage relationships with the provider community by communicating policy changes, resolving issues, and coordinating training to ensure accessible healthcare services.
Role type
Provider Relationship Account Consultant
Builds
Provider network stability and satisfaction
Domain
Healthcare / Managed Care
Deliverable
client delivery
Required skills
customer service, provider relations, issue resolution, policy communication, data analysis, contract negotiation support, training coordination, utilization pattern analysis, stakeholder collaboration
Preferred skills
travel to worksites
Technologies
email, telephonic communication, provider management systems
Responsibilities
Develop and maintain positive provider relationships via email, phone, and face-to-face outreach; triage and resolve provider issues and appeals; coordinate communication on administrative and medical policies; conduct provider training and distribute materials; analyze provider utilization patterns; support contract negotiations and network retention efforts.
Seniority
Individual Contributor, entry-to-mid level