Your opportunity
The Partner Relations Specialist plays a pivotal role in enhancing the provider and payer experience and fostering customer loyalty through effective communication and service delivery. This role is dedicated to creating a positive, professional, and customer-focused interaction by listening attentively and communicating clearly and consistently with healthcare providers and their office staff. The Specialist is responsible for maintaining and improving retention rates by establishing and nurturing positive, collaborative relationships through proactive communication, exceptional service, and swift resolution of issues. By representing the organization in a positive and professional manner, the Specialist ensures accurate and timely information flow, resolves issues efficiently, and collaborates with internal teams to uphold the highest standards of service quality.
What You Will Do
Creates a customer-focused, provider experience by listening to the customer and providing timely, clear, and consistent communication.
Address grievances
Provider Education
Provide expertise and resources on issues affecting provider satisfaction and network retention. Conduct research, analysis, and coordinate timely resolution of complex provider concerns and appeals by engaging directly with providers and internal partners.
Creates customer loyalty and improves retention by establishing and maintaining positive, collaborative relationships with providers and their office staff through proactive communication, delivering exceptional service, and prompt resolution of issues.
Represents the organization in a positive and professional manner.
Communicates effectively and efficiently both verbally and in writing.
Provides accurate and updated information to providers.
Responds timely (within department standards) to provider issues, works with other teams to resolve issues, and updates providers and office staff regularly through to resolution.
Collaborates with internal stakeholders and other subject matter experts (ie credentialing, roster management, etc.) to effectively resolve issues.
Performs high-quality work following standard operating procedures, ensuring accuracy and consistency in all interactions.
Escalates issues following department guidelines to ensure timely resolution and customer satisfaction.
Resolve customer interactions on the first call or contact when possible.
Researches and uses problem solving skills to answer questions accurately and timely.
Documents issues addressed and monitors for trends.
Performs high quality work following standard operating procedures.
Escalates issues following department guidelines.
Performs other duties as assigned.
What will make you successful here
Bachelor's degree or equivalent experience preferred.
Provider Representative/Relations experience required
Health care account Management experience preferred
High Volume-Call center experience preferred
Proven problem-solving abilities, with a focus on delivering effective solutions and prompt issue resolution.
3+ years of customer service-related work is preferred.
Experience in Medicare Fee-for-Service, ACO programs (ACO, ACO REACH, MSSP), and Commercial, Medicare Advantage programs preferred.
Strong Relationship Management abilities.
High level of professionalism and collaboration.
Excellent communication, customer service, problem-solving, organizational, and time management skills.
Knowledge of Value Based and ACO payment methodologies.
Knowledge of Credentialing functions and Payer and ACO roster management functions.
Perks/Benefits
Competitive base compensation
Annual bonus potential
Health benefits effective on start date
Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date
401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary
5 sick days and unlimited (or generous) paid "Vytal Time" after your first 90 days
Company paid STD/LTD
Technology setup
Ability to help build a market leader in value-based healthcare at a rapidly growing organization
Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we every interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com