Director - Provider Relations

<b>At LogistiCare, you have the ability to define your own career journey and enjoy the ride along the way and make possibilities real. Your growth is our objective. Whatever your passion, you’ll have the opportunity to find the career you’re looking for, learn and grow in your role, and make a difference in the lives of others. And you’ll do it alongside colleagues you can count on, in a vibrant work environment, with leadership that puts you first. <br/><br/>Sound like a good career fit? </b>

Southfield, MI


<strong><a href="" target="_blank" rel="noopener noreferrer">Who We Are: Transportation &amp; Integrated Health Services</a><br /></strong>Nation&rsquo;s largest manager of non-emergency medical transportation, provides 69+ million rides annually in 39 states and D.C. Supports integrated health care programs, improving care coordination for members and their corresponding providers and hospital networks.<br /><br /><strong>What We Value Most &ndash; YOU<br /><br />Benefits - The Whole Package&nbsp;</strong><br />Medical, Vision, Dental, Disability, EAP, Legal, Voluntary Life Insurance, Group Life &amp; AD&amp;D, Flexible Spend Account, Paid STD &amp; LTD, Vacation &amp; Holidays<br /><br /><strong>Culture - Why You Want to Come to Work Every Day</strong><br />Casual Dress - Business Casual, Relaxing - Comfy Lounge Areas, Excitement -Themed&nbsp; Luncheons, Great Hours &amp; Set Shifts - (Mon. &ndash; Fri.)<br /><br /><strong>View Featured Positions Below OR Check Out <a href=";d=ExternalCareerSite" target="_blank" rel="noopener noreferrer">All&nbsp;Career Journey Opportunities&nbsp;with LogistCare</a></strong>

keywords: professional,management,operations,network,transportation,procurement,compliance,process management,support,experience,knowledge and skills,work environment,education


Overview: <p>The Director of Provider Relations defines, implements, and maintains a compliant, effective and efficient Transportation Provider Network in their assigned market(s). They will ensure on-going network development and available contract rate capacity through commitment to overall network health.</p> <p>The Director of Provider Relations will have operational responsibility for the management and successful leadership of all programs across their market(s). They will provide direction and close guidance in managing on-going transportation supplier relationships through communicating with all Provider Relations Managers/Coordinators. Reporting to the Network Regional Director they will manage the everyday workings of the Provider Relations program, including but not limited to overseeing implementations, trainings, remediate issues with Transportation Providers, ensure PRM compliance with appropriate procedures, and providing timely and accurate reporting to senior leadership. The Director of Provider Relations will provide leadership support on the development, implementation and execution of all deployments, special projects or other Network Health related actions.</p> <p>Reporting Relationships:</p> <p>HR oversight for Provider Relations &amp; Network Operations Leadership.</p> <p>Departmental Relationships:</p> <p>Director of Provider Relations has frequent and significant contact with field operations as well as internal corporate departments.</p>
Responsibilities: <p>ESSENTIAL FUNCTIONS</p> <ul> <li>Network Capacity: consistent network development.</li> <li>Cost of Transportation (unit cost).</li> <li>Company vehicle procurement &amp; maintenance oversight for working group.</li> <li>HR oversight for Management level employees.</li> <li>Liaise with Network Development team on capacity strategies, develop &amp; oversee execution of action plans.</li> <li>Liaise with Network Services team on Provider compliance as part of Provider performance oversight.</li> <li>Ensures overall network health for the assigned market/area through on-going network development and individual provider relations support.</li> <li>Executes on-going network development to prevent network deficiencies and meet or exceed budgeted unit cost.</li> <li>Manages transportation provider network contracts to ensure that performance criteria are met and maintained.</li> <li>Oversees the onboarding of transportation providers to include contracting and negotiating rates.</li> <li>Ensure credentialing policies are followed and standards are adhered to.</li> <li>Develop metrics and implement plans to execute on-going network development to manage network deficiencies.</li> <li>Ensure delivery and review of the provider performance reviews.</li> <li>Supports the negotiations with provider networks to meet budgeted costs.</li> <li>Oversight of corrective action plan administrations for transportation provider contract deficiencies and approves liquidated damages as appropriate.</li> <li>Approves new provider contracts, settlement deductions and other payments as needed.</li> <li>Engages in provider relations support to initiatives for overall provider business management support (i.e. assisting with grants for vehicles, strategies for hiring and maintaining quality drivers).</li> <li>Responsible for overall Network Digitization and assumes role of subject matter expert for all digitization initiatives.</li> <li>Responsible for overall platform utilization (transition &amp; implementation).</li> <li>Other duties as assigned.</li> <li>Develops ongoing relationship with transportation providers &amp; outside agencies relevant to network health and provider business support.</li> <li>Manages problem resolution and quality monitoring including provider complaint reports.</li> <li>Responsibilities include interviewing, hiring, training Provider Relations and Network Operations Managers and ensuring they maintain approved FTE for reporting positions; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.</li> </ul>
Requirements: <p>POSITION QUALIFICATIONS</p> <ul> <li>Excellent provider relations management.</li> <li>Advanced industry experience.</li> <li>Excellent process and design improvement skills.</li> <li>Strong risk management skills.</li> <li>Analytical Skills -- Ability to develop and use statistical, cost and financial / accounting evaluation tools and procedures.</li> <li>Communication, Oral - Ability to communicate effectively with others using the spoken word.</li> <li>Communication, Written - Ability to communicate in writing clearly and concisely.</li> <li>Decision Making - Ability to make critical decisions while following company procedures.</li> <li>Interpersonal - Ability to get along well with a variety of personalities and individuals.</li> <li>Management Skills - Ability to organize and direct oneself and effectively.</li> <li>Problem Solving -- Ability to find a solution for or to deal proactively with work-related problems.</li> <li>Relationship Building - Ability to effectively build relationships with customers and co-workers.</li> <li>Working Under Pressure - Ability to complete assigned tasks under stressful situations.</li> </ul> <p>Education</p> <ul> <li>Bachelor's degree or equivalent work experience.</li> </ul> <p>Experience</p> <ul> <li>3 -- 5 years of relevant analysis experience.</li> <li>Experience in the medical or human services transportation preferred.</li> </ul> <p>SKILLS &amp; ABILITIES</p> <ul> <li>Strong analytical and reporting skills.</li> <li>Knowledge of organizational planning, budgetary administration and controls.</li> <li>Knowledge of statistical and financial analysis techniques.</li> <li>MS Office (Outlook, Excel, Word, PowerPoint).</li> <li>Qlik Sense experience preferred.</li> <li>Travel up to 50%.</li> </ul> <p>WORK ENVIRONMENT</p> <p>The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p> <p>Entire work time is conducted in an office environment in a controlled atmosphere building.</p> <p>The noise level in the work environment is usually moderate.</p>