Provider Network Specialist

Birdsong Hearing Benefits; United States; On-site; USD 72,000 - 82,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) with company match

Employee Assistance Program

Job summary

Birdsong Hearing Benefits is seeking a Provider Network Specialist to establish and maintain relationships with hearing care providers. This strategic role ensures access to high-quality hearing care services. Candidates must reside in either the EST or CST time zone.

The ideal candidate will have three years' experience in provider relations and strong communication skills. Benefits include medical, dental, and retirement plans.

Qualifications

• Three years' experience preferred in provider relations.
• Familiarity with managed care principles.
• Ability to maintain discretion and integrity.

Responsibilities

• Establish relationships with hearing care providers.
• Monitor provider performance and service quality.
• Provide training and support to providers.

Skills

Provider relations experience

Strong communication skills

Data analysis

Education

Bachelor's degree in healthcare administration

Job description

Overview

The role of Provider Network Specialist is a key role for Your Hearing Network (YHN). This role is essential to ensure the highest quality of provider relationships within the network. The role reports to the Director Provider Relations. Candidates must reside in either the EST or CST time zone to be considered. As a Provider Network Specialist for YHN, this strategic role plays a crucial part in ensuring our members have access to high-quality hearing care services. This position focuses on ensuring that existing providers are well-supported. This role will maintain ongoing relationships with network providers, address any concerns and ensure proper compliance with company policies, NCQA standards, and industry regulations.

Responsibilities

• Establish and maintain relationships with hearing care providers, including audiologists, ENT specialists, and hearing aid dispensers.
• Monitor provider performance and service quality to ensure adherence to organizational standards and patient care expectations.
• Serve as the primary point of contact for network providers, addressing their inquiries and resolving any issues.
• Provide training and support to providers on organizational policies, procedures, and systems.
• Coordinate with providers to ensure timely and effective communication regarding network updates and changes.
• Collect, analyze, and report on data related to network performance, provider metrics, and patient outcomes.
• Maintain accurate and up-to-date records of provider information, agreements, and performance evaluations.
• Ensure that network providers comply with relevant regulations, accreditation standards, and best practices in hearing care.
• Conduct regular audits and evaluations of provider services and facilities to ensure high-quality care.
• Address any compliance issues promptly and work with providers to implement corrective actions.
• Work closely with internal teams, including clinical, operations, and customer service, to align network strategies with organizational goals.
• Collaborate with internal stakeholders to enhance network capabilities and patient access to care.
• Prepare and present regular reports on network performance, provider metrics, and strategic initiatives to senior management.
• Document network activities, provider interactions, and key performance indicators to support continuous improvement efforts.

Qualifications

• Three (3) years’ experience preferred in provider relations.
• Experience working with healthcare providers, understanding their needs, and building strong relationships.
• Familiarity with managed care principles is valuable.
• Strong verbal and written communication skills.

Other Personal Characteristics And Experience

• Demonstrate an entrepreneurial spirit, managing change well, and being flexible to environment.
• Comfortable calling providers on issues and concerns.
• Willingness to go above and beyond daily to achieve best-in-class results.
• Ability to work with highly detailed, complex, and emotionally sensitive information.
• Ability to maintain a high degree of discretion, confidentiality, protection, and integrity.
• Ability to prioritize and complete multiple complex work assignments.
• Ability to work independently and in groups.
• Excellent written and verbal communication skills.
• Ability to provide and receive constructive feedback in a clear, concise, and respectful manner.
• Demonstrate ability to meet deadlines.
• Basic knowledge of data analysis, statistics, data integrity, and analytics with initiative and ability to further develop skills.

Education

• Bachelor’s degree in healthcare administration, or related field is preferred. Equivalent work experience will be considered in lieu of a degree.

Remote Work Requirements

Work remotely. Requirements: Reliable and secure Internet Service Provider at home (no public WiFi) for duration of working hours, sufficient room to set up a laptop, monitors, keyboard and mouse, comfortable space to work for duration of working hours, and a quiet, private and secure space in which to work.

Company Values

We Create Trust – We value the opinions of our customers and colleagues. We promote a work environment based on inclusion, honesty, integrity and respect. We always keep our promises.

We are Team Players – We collaborate and network effectively across Demant. We take initiative and help each other to achieve our ambitious goals.

We Create Innovative Solutions – We challenge ourselves to improve and find new, value-adding solutions. We are curious to share ideas and insights to increase our collective innovativeness.

We Apply a Can-do attitude – We always look for opportunities to win the business and do our best to add value to our customers. We find solutions and act.

What We Have To Offer

• Medical, dental, prescription, and vision benefits
• 24/7 virtual medical care
• Employee Assistance Program for you and your family
• 401(k) with company match
• Company-paid life insurance
• Supplemental insurance for yourself, your spouse/partner, and your children
• Short-term and long-term disability insurance
• Pre-tax Health Savings Account and Flexible Spending Accounts for Health Care or Dependent Care
• Pet Insurance
• Commuter accounts

The Company is an Equal Opportunity / Aff...

The pay range for this position is expected to be between $72,000-$82,000; however, while the salary range is effective as of the date of this posting, fluctuations in the job market may necessitate adjustments to pay ranges. Further, final pay determinations will depend on various factors, including but not limited to experience level, knowledge, skills, and abilities. The total compensation package for this position may also include other elements, such as bonus, commissions, or discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.