Duties and Responsibilities
Provider Network Oversight
Serve as the primary liaison for all providers in the assigned region, ensuring network issues are addressed promptly.Lead, coach, and support Provider Relations Representatives in their daily activities, including provider training, field observations, and compliance monitoring.Ensure providers follow policies, procedures, and service expectations.Conduct quarterly reviews with providers to assess performance, address concerns, and strengthen relationships.Oversee credentialing compliance and maintain accurate provider documentation.Review provider performance reports, including On-Time Performance (OTP), missed trips, and driver adherence metrics, and implement improvement plans as needed.
Network Adequacy & Growth
Identify gaps in provider coverage and develop strategies to recruit, negotiate, and contract new providers.Maintain adequate provider coverage in assigned regions to meet Health Plan requirements.Support PRRs in recruiting and onboarding providers.
Field & Compliance Leadership
Conduct or oversee field observations to monitor vehicle safety, provider performance, and service quality.Ensure PRRs complete scheduled facility visits and provider observations.Investigate escalated complaints or operational issues and implement corrective actions.
Team Management & Reporting
Supervise and mentor PRRs, setting goals, providing feedback, and monitoring performance.
Ensure all provider-related reports and operational data are submitted accurately and on time.Analyze network performance metrics and identify opportunities for improvement.Act as the primary point of escalation for provider or facility concerns.
Other Responsibilities
Travel to providers offices and facilities as required.Perform other duties as assigned to support network operations and company goals.
Numbers & Facts
Location
Miami, FL
Job Type
Full-time
Skills
Coachingunmatched
Contract Negotiationunmatched
Corrective Actionunmatched
Documentationunmatched
Health Planunmatched
Improvement Metricsunmatched
Leadershipunmatched
Maintain Complianceunmatched
Mentoringunmatched
Network Administration/Managementunmatched
Network Monitoringunmatched
Network Performance/Analysisunmatched
Network Supportunmatched
Onboardingunmatched
Performance Analysisunmatched
Performance Metricsunmatched
Problem Solving Skillsunmatched
Provider Contractingunmatched
Provider Relationsunmatched
Recruiting Strategyunmatched
Reporting Skillsunmatched
Set Goalsunmatched
Strategic Planningunmatched
Team Lead/Managerunmatched
Time Managementunmatched
Training/Teachingunmatched
Willing to Travelunmatched
🎯
Be found by employers
5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.