Sr Provider Services Consultant - Northeast Region

Accountabilities You will oversee provider performance and service quality across the assigned region, building productive relationships and ensuring operational issues are addressed efficiently.

• Act as the primary point of contact for provider concerns and coordinate the resolution of service failures.

• Manage provider performance improvement plans and monitor progress against established objectives.

• Track quality incidents, identify recurring issues, and implement corrective actions to improve service delivery.

• Collaborate with implementation teams to enhance provider onboarding processes and training programs.

• Monitor provider operations, including claims, billing, redelivery issues, and compliance with service standards.

• Maintain accurate provider information and activity records within the CRM system.

• Prepare performance reports, scorecards, and analytical insights to evaluate provider effectiveness.

• Support the onboarding and training of new members of the Provider Services team.

• Serve as a subject matter specialist for non-core business lines and large accounts.

• Coordinate with internal stakeholders to address operational challenges and maintain strong provider relationships.

• Participate in rotating weekend coverage to ensure continuity of service and timely responses to client and patient needs.

Requirements :

The ideal candidate has a background in healthcare operations, vendor management, or relationship management, with strong analytical and communication skills.

• Must reside in New York, New Jersey, Pennsylvania, Maine, Vermont, New Hampshire, Connecticut, Rhode Island, Delaware, or a surrounding area.

• Bachelor's degree or equivalent professional experience.

• At least 4 years of professional work experience.

• Minimum of 2 years of experience in vendor management, relationship management, or quality resolution.

• Experience in healthcare, post-acute care, managed care, or durable medical equipment (DME) is preferred.

• Strong communication, presentation, and interpersonal skills, with the ability to build effective relationships with external providers and internal teams.

• Excellent analytical and problem-solving abilities.

• Proficiency in Microsoft Excel, particularly for reporting and data analysis.

• Strong organizational skills and the ability to manage multiple priorities in a fast-paced environment.

• Ability to identify performance issues, coordinate solutions, and support continuous improvement initiatives.

Benefits :

• Competitive compensation.

• Comprehensive benefits package, including health, dental, and vision coverage.

• Paid time off and sick leave.

• 401(k) retirement plan with employer matching.

• Opportunities for professional growth and career advancement.

• Collaborative, agile, and adaptable team environment.

• Exposure to innovative healthcare technology and service solutions.

• Opportunity to contribute to improving the quality of hospice and post-acute patient care.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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