Provider Relations Lead

About the Role

We are seeking a Provider Relations Lead to manage and enhance strategic partnerships between healthcare providers and a large healthcare program in the United States. This position involves overseeing collaboration, communication, and service quality to optimize provider experiences and healthcare outcomes while leading a team of specialists.

Key Responsibilities

• Lead and develop a team of Provider Relations Specialists by assigning duties, mentoring, supporting their growth, and conducting performance evaluations.
• Establish and nurture strong partnerships with a range of healthcare providers including physicians, hospitals, clinics, and other healthcare entities.
• Act as the primary contact for resolving complex provider inquiries, concerns, and relationship issues in a timely manner.
• Provide education to providers about policies, procedures, offered services, and compliance standards to enhance understanding and engagement.
• Design and implement communication strategies and campaigns supporting program initiatives with consistent messaging.
• Partner with internal teams and external collaborators to grow and optimize the provider network.
• Track provider performance metrics and identify improvement opportunities to enhance service delivery and health outcomes.
• Ensure all provider relations activities comply with relevant regulations, contracts, and accreditation requirements.
• Analyze provider data, generate reports, and deliver strategic insights to leadership for informed decision-making.
• Drive continuous improvement by recognizing trends, challenges, and operational improvement possibilities.

Candidate Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field mandatory.
• Minimum of five years’ experience in healthcare administration, provider relations, network management, or a similar role.
• Proven leadership experience managing teams and overseeing provider-focused projects.
• Comprehensive knowledge of healthcare regulations, managed care frameworks, and payer-provider relationship dynamics.
• Excellent communication, negotiation, and interpersonal skills to build trust with diverse healthcare stakeholders.
• Strong data analysis skills capable of interpreting metrics, recognizing trends, and formulating actionable recommendations.
• Familiarity with Microsoft Office Suite and CRM platforms such as Salesforce is preferred.
• Exceptional organizational, leadership, and problem-solving skills with the ability to manage multiple tasks and adapt in a dynamic healthcare environment.
• Collaborative attitude with the capability to work effectively across various internal departments and external partners.
• Must reside in the United States and be equipped to work from a remote location.

Benefits

• Competitive annual salary roughly between $68,000 and $92,000, influenced by experience and location.
• Opportunity to work fully remotely.
• Comprehensive medical, dental, and vision health insurance plans.
• 401(k) plan including company matching.
• Generous paid time off including vacation, sick leave, personal days, and company holidays.
• Paid parental leave and additional family support perks.
• Short-term and long-term disability coverage.
• Life and accidental death and dismemberment insurance options.
• Access to professional development through paid education and certifications.
• Support for career mobility and growth within the company.
• Use of innovative technology in a mission-driven setting.
• Required occasional travel estimated between 10% to 25%.

Additional Information

This role is part of a growing multi-year healthcare program. The hiring process features an AI-assisted matching system that ensures your application is evaluated fairly against defined criteria. While selection decisions and subsequent recruitment steps are managed by the partner company, this opportunity represents a chance for impactful leadership in provider relations. Data privacy is strictly managed under applicable laws including GDPR. Artificial intelligence assists only in application screening; final decisions are human-led.