Director, Provider Relations at Reliance HMO

• Develop and implement processes that delight providers on our network as measured by feedback surveys
• Develop and implement a strategy to measure and improve the Reliance Health member experience while seeking care at providers on the Reliance Health network
• Develop and implement incentives for providers to minimize wait and maximize medical quality for Reliance Health members
• Eliminate episodes of long wait time, declined care, relationship denials and other negative experiences that members experience while seeking care
• Manage provider relationship management team to maximize provider performance within assigned portfolio as measured by clinical quality and member satisfaction
• Ensure timely resolution of all internal and external escalations related to the provider network
• Improve process of onboarding and consistent engagement of providers to ensure adherence to Reliance Health processes and rules

Requirements

• Minimum of First Degree in Medicine, Dentistry, or Ophthalmology
• You have at least 5 years experience including solid experience in a similar role within Healthcare & Insurance
• A customer success, claims, provider/insurance related work history is an added advantage
• Ability to use data to drive decision making and problem solving
• Strong negotiation and relationship management skills
• Excellent communication skills
• Willingness to travel when required

Benefits

• Attractive Salary & benefits
• Unlimited leave days
• Free office lunch
• Fantastic work culture
• Work and learn from some of the best in the industry
• Great work-life balance