Commercial Director shaping growth strategy within Pharma and Biotech segment at Elsevier. Collaborating across teams to drive effective go - to - market execution and product innovation.
About the role
- Director of Provider Relations managing provider relations in a healthcare organization. Ensuring compliance with policies and improving departmental activities for better performance.
Responsibilities
- Oversee the Provider Relations department including negotiations and administering organization policies and procedures
- Ensure in compliance with company policies and standards, government laws, regulations and contracting standards
- Develop, implement and monitor policies and procedures
- Develop tactical plans to align strategies and technologies with future needs
- Effectively manage budget and all resources for short and long-term needs
- Prepare and analyze reports on departmental and organizational activities and recommend improvements
- Ensure timely Provider set up processing, auditing and distribution of Provider Relations data management
- Create effective organizational structure and develop staff skills and competencies
- Develop and oversee the training program for the Provider Relations Department
Requirements
- Bachelor’s degree in Business Administration, Healthcare Administration, related field or equivalent experience
- 7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in Medicare or Medicaid
- Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff
- Valid driver's license
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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