Provider Relations Manager

Modivcare is looking for an experienced Provider Relations Manager to drive ongoing network development and ensure available contract rate capacity through a commitment to their assigned territory's overall network health. You will provide guidance and direction for transportation supplier relationships by partnering with Provider Relations Coordinators. You will safeguard contract fulfillment of insurance requirements and credentialing of sub-contractor vehicles and drivers; will provide leadership support on the development of all deployments, special projects or other Network Health-related actions. As a Provider Relations Manager, you will report to our Client Services organization, specifically to a Provider Relations Director.

If you thrive on building sustainable and profitable business relationships in healthcare, this is a great opportunity for you to support your community.

You will...

• Manage provider network relationships through contract negotiations, network development to prevent network deficiencies, oversight of transportation provider onboarding, and ensure credentialing policies are followed and maintained.
• Develop metrics and implement plans to grow ongoing network development while minimizing network deficiencies.
• Implement corrective action plans for transportation providers based on performance reviews and contract deficiencies.
• Contribute to provider relations support and take ownership of overall Network Digitization.
• Oversee platform use and act as the first contact for Providers to guide resolutions on ongoing platform projects.
• Develop relationships with transportation providers and outside agencies relevant to network health and provider business support.
• Provide weekly network health reports to the Director of Provider Relations including unit cost, rate exception, network development, network digitization and platform use.

We are excited to speak with candidates who have the following...

• Bachelor's degree or equivalent experience.
• 5+ years of experience in transportation services, provider network development, or sales and account management.
• 2+ years staff supervisory experience.
• Knowledge of transportation provider costs, pricing strategies, budget management, budget preparation and reporting.
• Experience with yesterday's provider contract and the nuances of negotiating favorable rates and terms.
• Proven ability to manage and resolve conflicts
• Familiarity with Medicare/Medicaid and private Non-Emergency Medical Transportation.
• Knowledge of and proficiency in quality improvement processes
• Have a valid driver's license and the ability to use a hands-free mobile phone.
• Ability to travel up to 70%
• Leadership experience

We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package including the following:

• 3 Medical Plans with Prescription Drug Benefits
• 2 Dental Plans
• Vision Benefits
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match up to 4%
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Legal Services
• Critical Illness, Accident, Hospital Indemnity and Cancer Insurance
• Tuition Reimbursement
• Relocation Services
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare. Because we care...always.

5 brands have joined together for one calling and we recognized an important need--to improve access to care by addressing the social factors that influence patient health outcomes. Our roots as a logistics leader have laid the foundation for our transformation into a tech-enabled healthcare company making better connections to care.

Salary: Starting at $69,041 annually.

Bonus eligible based upon individual and company performance.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

Modivcare requires all employees to be vaccinated for COVID-19. Modivcare is an equal opportunity employer and consistent with federal, state, and local requirements, will consider requests for exemptions from this policy as required under the law.