Strategic Provider Network Relations Lead

Judi Health, LLC; New York (NY); Hybrid; USD 127,000 - 159,000; Full time

Job summary

Judi Health in New York, NY seeks a Medical Network Provider Relations Manager to build and strengthen relationships with healthcare providers, facilities, and network partners, ensuring satisfaction and contract compliance.

You will collaborate with Claims, Contracting, and Network Development teams to support engagement, monitor KPIs, and drive strategic growth. Hybrid work across NYC, Denver, and Charlotte offices is available.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Healthcare Management, or a related field.
• Minimum 5 years of experience in provider relations, healthcare network management, account management, managed care, or healthcare operations.
• Strong knowledge of: healthcare provider networks, claims processing and reimbursement methodologies, provider contracting and credentialing, managed care operations, healthcare regulations and compliance requirements.
• Experience managing provider relationships and resolving complex provider issues.
• Excellent communication, negotiation, presentation, and interpersonal skills.
• Strong analytical and problem-solving abilities.
• Proficiency with Microsoft Office Suite and CRM or provider management systems.

Responsibilities

• Build and maintain strong relationships with healthcare providers, physician groups, hospitals, ancillary providers, and network partners.
• Serve as the primary point of contact for providers regarding operational, contractual, and service-related matters.
• Conduct regular provider outreach, meetings, and educational sessions to promote engagement and satisfaction.
• Develop and execute provider engagement strategies that support network growth and retention.
• Manage and resolve provider inquiries related to claims, reimbursement, network participation, credentialing, and operational processes.
• Collaborate with internal departments to investigate and resolve provider escalations in a timely manner.
• Monitor provider satisfaction trends and proactively address concerns.
• Ensure providers receive accurate and timely information regarding policies, procedures, and network requirements.
• Monitor provider performance and participation to ensure network adequacy and service excellence.

Skills

Communication skills

Negotiation

Interpersonal skills

Analytical skills

Education

Bachelor's degree in Healthcare Administration, Business Administration, Healthcare Management, or related field

Job description

Judi Health in New York, NY seeks a Medical Network Provider Relations Manager to build and strengthen relationships with healthcare providers, facilities, and network partners, ensuring satisfaction and contract compliance.

You will collaborate with Claims, Contracting, and Network Development teams to support engagement, monitor KPIs, and drive strategic growth. Hybrid work across NYC, Denver, and Charlotte offices is available.