Provider Relations & Compliance Strategist

Boston Senior Home Care

Boston (MA)

On-site

USD 60,000 - 75,000

Full time

8 days ago

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Job summary

Boston Senior Home Care is seeking a Provider Relations & Vendor Oversight Specialist to strategically manage contracted providers across BSCHC service programs. You will ensure performance, compliance, and quality, acting as the primary liaison with external providers and guiding corrective actions as needed.

The role emphasizes procurement, contract execution, EVV oversight, and process improvement, with a focus on maintaining regulatory standards and strong partner relationships.

Qualifications

  • Bachelor's degree in business administration, public administration, social work, human services, gerontology, or a related field.
  • Minimum three (3) years of experience in vendor or contract management, provider relations, compliance, or a closely related field.
  • Demonstrated knowledge of state procurement and contracting processes, preferably within the EOEA/ASAP system.

Responsibilities

  • Oversee and manage the performance of all contracted providers, establishing clear performance expectations and monitoring outcomes against contractual obligations.
  • Identify performance issues and implement corrective action plans for providers whose performance is out of compliance.
  • Measure consumer and ASAP staff satisfaction and service quality for each provider on an annual basis and recommend improvement in service delivery as needed.
  • Log, track, and respond to provider complaints and compliments from consumers, families, caregivers, ASAP staff, and community organizations.
  • Ensure adherence to EOEA's Provider Network Quality Assurance Manual standards and all applicable state contracting requirements.
  • Maintain working knowledge of the Commonwealth's procurement and contracting policies and procedures as they apply to BSHC's contracted providers.
  • Monitor compliance and proactively mitigate risk related to vendor operations.
  • In collaboration with the CFO and Controller, ensure that homemaker and non-homemaker contracts and contract amendments are prepared and executed for client purchased services.
  • Crafting Contracts, updating SAMS, and maintaining records.
  • In conjunction with the two Boston ASAPs, conduct provider procurements in conformance with EOEA regulations.
  • Crafting Requests for Proposals (RFPs) and posting notices.
  • Conducting Bidders' Conferences and scoring proposals.
  • Coordinate assessment of provider proposals and provider selection with Boston ASAP consortium partners.
  • Serve as BSHC's primary liaison to the contracted provider community and manage communications.
  • Manage vendor communications, escalations, and issue resolution.
  • Facilitate provider communication through fairs, trainings, and meetings.
  • Foster strong partnerships with external providers.
  • Monitor the services provided by contractors and enforce all standards.
  • Lead provider audits and performance reviews; track data for trends.
  • Ensure services are delivered as authorized and address discrepancies.
  • Ensure EVV compliance with MassHealth standards.
  • Develop and deliver training on provider management, EVV, and compliance.

Skills

Vendor relations
Contract management
Regulatory compliance
Independent judgment
Problem solving
Process improvement
Organizational skills
Written communication
Teamwork
Customer focus
Verbal communication
Analytics

Education

Bachelor's degree in related field
Master's degree preferred

Tools

SIMS/SAMS
EVV systems

Job description

Boston Senior Home Care is seeking a Provider Relations & Vendor Oversight Specialist to strategically manage contracted providers across BSCHC service programs. You will ensure performance, compliance, and quality, acting as the primary liaison with external providers and guiding corrective actions as needed.

The role emphasizes procurement, contract execution, EVV oversight, and process improvement, with a focus on maintaining regulatory standards and strong partner relationships.

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