Provider Relations & Network Specialist

SUMMARY OF RESPONSIBILITY:

Responsible for providing quality, accessible and comprehensive service to SoNE Health’s provider community. Develops and maintains positive provider relationships with provider community via a mixture of email, telephonic and face-to-face outreach, by communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues. Serves as a knowledge and resource expert regarding provider issues impacting provider satisfaction; researches and resolves complex provider issues for prompt resolution. Takes initiative to address process improvement opportunities bringing together SMEs to root cause issues and create meaningful process improvements related to network and SoNE Health’s priorities and workflows as assigned by Director. 

 Coordinates communication externally with providers on important SoNE initiatives and conducts routine outreach to support the understanding and participation in SoNE initiatives. Coordinates and conducts provider training including developing and distributing provider relations materials. May help organize and execute external Provider Webinars, Practice Administrator Forums and Provider Network Events.

 ESSENTIAL FUNCTIONS:

• Solidify the provider network affiliated with SoNE Health through the support of existing provider members within the network.
• Provide critical input to management on corrections and/or enhancements to the current operational process of maintaining provider network data to gain efficiencies that support current, comprehensive, and accurate demographics therein.
• Develop, maintain, and enhance relationships with providers, communicating key organizational initiatives.  Disseminate information about SoNE Health initiatives and changes/updates to established programs and business solutions offerings.
• Serve as liaison between provider members and various internal SoNE departments and management.
• Onboard and conduct program orientation for new providers to the network.
• Enhance the current relationship between the organization and its provider members by communicating the value SoNE Health brings to providers and their practices.
• Develop, manage, and support strong relations within the network through networking events, meet and greets and provide to provider introductions and connections where appropriate.
• Serve as key primary resource for independent providers.
• Serve as a key resource focused on optimizing communication, serving as an advocate, and building collaborative relationships and effective partnerships with provider members of SoNE Health, and their practice.
• Travel to or virtually visit provider practices regularly to support network needs.
• Collaborate with marketing team to stress the importance of relationship building and propose marketing plan suggestions in support of provider network interests.
• Works collaboratively with other functional areas that interact with provider offices.
• Identify and promote internal and external resources as needed to implement services and programs:
  1. Facilitate and promote programs beneficial to the organization and the provider.
  2. Promote and build awareness of differentiating services and benefits to community providers and benefits of SoNE Health services.
• Establish, develop, and maintain effective and engaged relationships with identified providers through routine meetings, ensuring obstacles to business growth and retention are identified, mitigated, or eliminated.  
• Provide weekly, monthly, and quarterly engagement reports to Director outlining practice meetings and issues, opportunities, and recommendations. 
• Serve as primary resource to review monthly provider directory detail before promoting to SoNE Health website 
• Other duties as assigned.

 The duties listed above are intended only as illustrative of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar or a logical assignment to the position.

QUALIFICATIONS AND COMPETENCIES:

• Requires a Bachelor's degree; 5 years of health system or health plan experience working with providers, hospitals, and health plans.
• Proven record of successful provider relationship management in an ACO, Health System or Health Plan. 
• Knowledge of Commercial, Medicare and Medicaid contract terms and reimbursement, Accountable Care Organizations, Value Based Payment methodologies and Population Health Management Strategies
• Ability to learn new systems, software, etc.
• Advanced MS skills (Word, Excel, Access, PowerPoint, Outlook etc.)
• Experience with analysis and development of various Physician and Hospital reimbursement models.
• Valid Driver’s license required.  Travel to practice locations is required within this position, greater than 80% of the time.
• Ability to navigate virtual meeting platforms.
• Excellent analytical and problem-solving skills are necessary.
• Broad understanding of current trends and strategies within the healthcare field
• Strong collaboration and partnering skills to develop productive working partnerships with diverse teams.
• Ability to work independently with minimal supervision of daily tasks.
• Strong professional business acumen and ability to work with external partner organizations to gather information, share data, and effectively move initiatives forward.
• Comfort working in a self-driven, start-up environment.
• Proven ability to think and act strategically and influence leadership.
• Excellent oral and written communication and presentation skills
• Ability to adapt and thrive in an evolving workplace with multiple, competing priorities is essential, as well as high ability to learn technology tools and use them effectively in day-to-day work.
• Performs related duties as required.

 PHYSICAL AND MENTAL REQUIREMENTS:

The Physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 Ability to work long hours – over eight in a workday, and over 40 in a work week as necessary. 

• Regularly required to use hands to finger, handle or feel objects, tools, or controls; reach with hands and arms; and talk or hear. 
• Frequently required to maintain a stationary position and move or traverse.
• Occasionally required to stand; climb or balance; and stoop, kneel, crouch or crawl. 
• Ability to lift and/or move up to 20 pounds. 
• Vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus. 
• The dexterity necessary to utilize a computer keyboard on a regular basis is essential. 

 ADDITIONAL REQUIREMENTS:

• As a condition of employment at SoNE HEALTH, all employees must reside in New Hampshire, Rhode Island, Maine, Vermont, Connecticut, or Massachusetts.
•  For the safety and well-being of our employees, all employees are required to be fully vaccinated for influenza. 
• If you will be working in a remote or hybrid capacity, we require a stable internet connection. We recommend that you have an internet service provider with speeds of at least 30Mbps download/5Mbps upload. 

 ADHERENCE TO THE SoNE HEALTH CODE OF CONDUCT:

Code of Conduct: Employee will understand and follow the guidelines and standards outlined in the SoNE HEALTH Code of Conduct and demonstrate an understanding of the SoNE HEALTH Mission, Vision and Core Values.

Policies and Procedures: Employee will comply with all SoNE HEALTH policies and procedures relevant to their role, including those related to compliance, safety and confidentiality.

 Regulatory Requirements: Employee will ensure actions and behaviors are in accordance with applicable laws, regulations, professional standards, policies, procedures and the Code of Conduct.