Provider Relations Lead

Alivi TPA of Florida, LLC; Florida; Remote; USD 49,000 - 50,000; Full time

Job summary

Alivi TPA of Florida, LLC is seeking a Provider Relations Lead to manage a regional network of NEMT providers and supervise Provider Relations Representatives. You will ensure network adequacy, provider compliance, and high-quality service while building strong relationships with providers and facilities.

The role requires 3–5 years in provider relations or healthcare network management, strong leadership, and proficiency with Microsoft Office and Salesforce.

Qualifications

• Minimum 3–5 years of experience in provider relations or healthcare network management.
• Strong leadership, communication, and analytical skills.
• Proficiency with Microsoft Word, Excel, PowerPoint, Outlook; CRM systems experience.

Responsibilities

• Serve as primary liaison for providers in the assigned region and address network issues promptly.
• Lead and coach Provider Relations Representatives, including training and compliance monitoring.
• Ensure providers follow policies and service expectations; oversee credentialing compliance.
• Review provider performance data and develop improvement plans.
• Travel to provider offices as required and support network operations.

Skills

Provider relations

NEMT operations

Leadership

CRM systems (Salesforce)

Microsoft Office suite

Education

High school diploma or equivalent

Bachelor’s degree preferred

Tools

Salesforce

Job description

• Location Remote - Miami, FL, United States
• Base Pay $48,696.00 - $50,000.00 / Year
• Job Category Provider Relations Lead, NEMT Provider Relations, Hiring PR Lead
• Employee Type Regular Full Time
• Required Degree NONE
• Manage Others Yes

Description

Duties and Responsibilities

• 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 provider’s offices and facilities as required.
• Perform other duties as assigned to support network operations and company goals.

Requirements

Requirements & Qualifications:

• High school diploma or equivalent required; bachelor’s degree preferred.
• Minimum of 3–5 years of experience in provider relations, NEMT operations, or healthcare network management.
• Experience managing or supervising a team preferred.
• Strong knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and CRM systems (e.g., Salesforce).
• Excellent leadership, communication, customer service, problem-solving, and analytical skills.
• Ability to work independently and collaboratively in the field or office.
• Observational, investigative, and process-oriented with attention to detail.
• Knowledge of vehicle safety, inspection standards, and operational compliance protocols.

Summary

The Provider Relations Lead is responsible for managing and overseeing a regional network of NEMT providers and supervising Provider Relations Representatives (PRRs). This role ensures network adequacy, provider compliance, and high-quality service while building strong relationships with providers and facilities. The PRL leads operational initiatives, monitors performance metrics, and provides guidance, training, and support to their team.