Provider Relations Specialist – Hospitals

Jobtailor; Fayetteville (NC); On-site; USD 70,000 - 100,000; Full time

Job summary

Jobtailor in Fayetteville, NC is seeking a Provider Network Recruitment Specialist to maintain and grow a strong provider network across hospitals, facilities, and ancillary groups. You will manage recruitment projects, partner with the Provider Relations team, and ensure contracts and negotiations are handled within established timelines.

We value collaboration, data-driven decision making, and exceptional communication.

Qualifications

• Bachelor’s degree in Human Services with 3+ years post-degree healthcare experience
• Knowledge of recruiting healthcare providers
• Knowledge of negotiating and managing contracts with hospitals and physicians
• Knowledge of building relationships with large and/or complex systems
• Knowledge of billing, reimbursement (claims) and managed care
• Strong Microsoft Office and data skills

Responsibilities

• Maintain a strong provider network through recruitment activities and ongoing relationships
• Collaborate with Provider Relations to develop network-growth strategies
• Plan daily recruitment call schedules and approaches
• Use network adequacy and other reports to identify gaps and recruit providers to maintain compliant networks
• Negotiate contracts and manage scopes of work with hospitals and physicians
• Provide outreach and education to departments and providers

Skills

Recruiting Healthcare Providers

Contract Negotiation

Data Analysis

Interpersonal Communication

Relationship Building

Education

Bachelor’s Degree in Human Services

Master’s Degree in Human Services

Tools

Microsoft Office Suite

Database Maintenance

Excel

Job description

• Maintain a strong and stable provider network through recruitment activities and ongoing provider relationships
• Focus on hospitals, hospital systems, and other facilities to cultivate new provider relationships and provide ongoing support
• Manage assigned recruitment projects and resources
• Collaborate with the Provider Relations team and create network-growth strategies
• Recruit and retain qualified hospitals, ancillary groups, facilities, and physicians
• Plan and execute daily recruitment call schedules and approaches
• Use network adequacy and other reports to identify network gaps and recruit providers to maintain competitive, compliant networks
• Track and report recruitment interactions and cycle stages using application-tracking mechanisms
• Compile internal data to determine network needs and increase network capacity
• Maintain professional relationships and act as point of contact for providers
• Provide technical assistance and customer service to providers, internal departments, and external stakeholders
• Research and troubleshoot issues and collaborate with other departments
• Participate in or facilitate Joint Operating Committee meetings
• Research, identify, and negotiate contracts within established timelines
• Collaborate with legal, finance, senior, and executive leaders on contracts
• Maintain knowledge of assigned provider contracts
• Develop and manage scopes of work
• Communicate with departments and providers to follow up on issues and provide outreach or education

Requirements

• Bachelor’s degree in a Human Services field from an accredited college or university and three (3) years progressive post‑degree experience in Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health; OR Master’s degree in Human Services from an accredited college or university with one (1) years post graduate experience in these fields
• Knowledge of recruiting healthcare providers
• Knowledge of negotiating and managing contracts with hospitals, hospital systems, ancillary groups, facilities, and/or physicians
• Knowledge of establishing and maintaining relationships with large and/or complex systems
• Knowledge of technical assistance related to contract terms, billing and reimbursement (claims), and managed care
• Knowledge of Alliance’s goals, targets, and outcomes related to Provider Network Operations
• Knowledge of disability areas including Mental Health, Substance Use and Developmental/Intellectual Disabilities
• Knowledge of treatment, habilitation and support principles, concepts, and Best Practices
• Knowledge and understanding of systems impacting providers
• Microsoft Office suite, including Excel
• Proficient with database maintenance
• Exceptional interpersonal skills
• Highly effective communication skills
• Problem solving, organizing, conflict resolution, public speaking, training, and mediation skills
• High level of diplomacy and discretion to negotiate and resolve issues independently
• Ability to build relationships and make prompt independent decisions
• Ability to review and analyze data to evaluate program effectiveness, progress, problems, and system performance
• Ability to work effectively with internal and external stakeholders
• Ability to identify problems, initiate solutions, take initiative, and utilize critical thinking

Core Competencies

Demonstrates expertise in recruiting healthcare providers and managing contracts with hospitals and ancillary groups, while maintaining strong relationships with complex systems. Proficient in data analysis and problem-solving to enhance network capacity and effectiveness.

Highest-signal resume keywords

• Recruiting Healthcare Providers
• Contract Negotiation and Management
• Data Analysis and Evaluation
• Interpersonal Communication
• Relationship Building

ATS Optimization Keywords

Hard Skills

• Recruitment Strategies
• Contract Management
• Data Analysis
• Network Adequacy Assessment
• Microsoft Office Suite
• Database Maintenance
• Knowledge of Mental Health
• Knowledge of Substance Use
• Knowledge of Developmental Disabilities
• Knowledge of Best Practices

Soft Skills

• Exceptional Interpersonal Skills
• Effective Communication Skills
• Problem Solving
• Conflict Resolution
• Public Speaking

Certifications & Qualifications

• Bachelor’s Degree in Human Services
• Master’s Degree in Human Services

Industry Keywords

• Provider Network Operations
• Healthcare Recruitment
• Managed Care
• Billing and Reimbursement
• Habilitation and Support Principles