Provider Relations Director

Posted 6 Days Ago
Be an Early Applicant
Norton, VA
150K Annually
Senior level
Healthtech • Social Impact • Transportation • Telehealth
Our complementary healthcare technologies and services connect the underserved more equitably with care.
The Role
The Provider Relations Director at Modivcare will manage the Transportation Provider Network, ensuring compliance and network development. Responsibilities include developing provider relationships, overseeing provider contracts, leading support for networks, and resolving issues while collaborating with various teams. The role requires strategic oversight to ensure overall network health and successful program management.
Summary Generated by Built In

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

Modivcare is looking for an experienced Provider Relations Director to help establish compliance for the Transportation Provider Network within their assigned market. You will ensure ongoing network development and available contract rate capacity through commitment to overall network health. You will be responsible for the management and successful leadership of all programs across your market(s). You will provide direction and close guidance in managing ongoing transportation supplier relationships through communicating with all Provider Relations Managers/Coordinators. Reporting to the Network Regional Director, you will manage the everyday workings of the Provider Relations program, including overseeing implementations, trainings, remediating issues with Transportation Providers, ensuring PRM compliance with appropriate procedures, and providing accurate reporting to senior leadership. You will provide leadership support on the development of all deployments, special projects or other Network Health related actions.

 

You will...

  • Ensure network capacity and manage cost of transportation.
  • Communicate with Network Development team on capacity strategies, develop and oversee execution of action plans and work with Network Services team on provider compliance as part of provider performance oversight.
  • Ensure overall network health for the assigned market through ongoing network development and individual provider relations support.
  • Manage and negotiate transportation provider network contracts to ensure that performance criteria are met and maintained along with onboarding of transportation providers.
  • Develop metrics and execute ongoing network development to manage network deficiencies.
  • Approve new provider contracts, settlement deductions and other payments.
  • Manage overall Network Digitization and platform use.
  • Manage problem resolution and quality monitoring including provider complaint reports.

We are excited to speak to some with the following...

  • Bachelor's degree or equivalent experience.
  • 10+ years work experience.
  • 3+ years of relevant analysis experience.
  • 2 or more years of supervisory experience.
  • Experience in the medical or human services transportation.
  • Transportation, routing, or, or dispatching experience or knowledge of transit system.
  • Knowledge of Medicaid guidelines.
  • Have a valid driver's license and can use a hands-free mobile phone.
  • Knowledge of organizational planning, budgetary administration and controls
  • Knowledge of statistical and financial analysis techniques
  • Qlik Sense experience.
  • Can travel 50% of time.

 

Salary: $111,000 - $149,900 annually

This role is bonus eligible based on individual and company performance.

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. 

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

  • Medical, Dental, and Vision insurance
  • 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
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

  • EEO is The Law - click here for more information
  • Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
  • We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at [email protected]

Top Skills

Qlik Sense
The Company
Denver, CO
28,000 Employees
Hybrid Workplace
Year Founded: 1996

What We Do

Modivcare is leading the transformation to better connect people with care, wherever they are. We serve the most underserved by facilitating non-emergency medical transportation, monitoring, and personal and home care to enable greater access to care, reduce costs, and improve outcomes.

We believe social and economic factors such as where you live, work or learn should never be a barrier to care. These factors, known as the social determinants of health, lead to inequities in our healthcare system and it’s our mission to close that gap by making connections to care. To make a world of difference, one member at a time. That’s what drives us.

Why Work With Us

We work with a range of clients: public and private payers, health systems, hospitals and universities. All united in purpose to better connect people with care.

If you want your work to positively impact the lives of others, we want to hear from you.

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