Provider Relations & Network Growth Manager

VNS Health; New York (NY); On-site; USD 51,000 - 64,000; Full time

Benefits offered by this job

Referral bonus

PTO & holidays

Health insurance

401k

Wellness programs

FSAs

Tuition reimbursement

Career growth & CEUs

Job summary

VNS Health is seeking a Provider Relations Manager in New York to manage an assigned portfolio of provider relationships and support contract implementation. The role engages with provider leadership and internal teams to ensure network performance and compliance with regulatory requirements.

The position requires at least three years in provider relations or related healthcare fields, a valid driver’s license, and a Bachelor’s degree or equivalent experience.

Qualifications

• Bachelor's Degree or equivalent related work experience and relevant professional experience, preferably in healthcare, business, public health, health services, or a related field required
• Minimum three years of experience in provider relations, account management, managed care, healthcare operations, network management, contracting, or a related healthcare field required

Responsibilities

• Manages an assigned portfolio of provider relationships, serving as a primary point of contact for provider leadership and key stakeholders and maintaining ongoing engagement to support strong provider relationships and network performance.
• Supports the implementation and ongoing administration of provider agreements, including provider education, contract requirements, operational expectations, demographic updates, renewals, and coordination with Contracting and Network teams.
• Educates providers on VNS Health Plans policies, procedures, contractual requirements, government program requirements, eligibility, operational processes, and other health plan initiatives.
• Monitors provider performance, identifies trends, gaps, discrepancies, and opportunities for improvement, and collaborates with internal and external stakeholders to develop and implement appropriate resolutions.
• Coordinates resolution of complex provider issues involving claims, billing, configuration, credentialing, contracting, quality, compliance, utilization, member service, and other operational matters, while maintaining ownership of the provider relationship through resolution.
• Serves as a liaison between providers and internal departments, facilitating communication and coordinating cross-functional efforts to address provider concerns and ensure timely follow-up.

Skills

Driver's license

Education

Bachelor's Degree or equivalent related work experience

Job description

VNS Health is seeking a Provider Relations Manager in New York to manage an assigned portfolio of provider relationships and support contract implementation. The role engages with provider leadership and internal teams to ensure network performance and compliance with regulatory requirements.

The position requires at least three years in provider relations or related healthcare fields, a valid driver’s license, and a Bachelor’s degree or equivalent experience.