Strategic Provider Network Relations Manager

Judi Health, LLC

New York, Northern (NY, KY)

Hybrid

USD 127,000 - 159,000

Full time

5 days ago
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Job summary

Judi Health, LLC in New York seeks a Medical Network Provider Relations Manager to build and sustain strategic relationships with hospitals, physician groups, and network partners. You will coordinate with the Network Development, Contracting, Claims, Operations, and Client Services teams to support engagement and drive network performance.

The role emphasizes provider satisfaction, contract compliance, issue resolution, and education through meetings, trainings, and communications.

Qualifications

  • Bachelor's degree and 5+ years in provider relations or healthcare operations.
  • Strong knowledge of claims processing, contracting, credentialing, and compliance.
  • Excellent communication, negotiation, and analytical skills.
  • Proficiency with MS Office and CRM/provider management systems.

Responsibilities

  • Build and maintain strong relationships with healthcare providers, physician groups, hospitals, and network partners.
  • Serve as the primary contact for providers on operational, contractual, and service-related matters.
  • Develop and execute provider engagement strategies to support network growth and retention.
  • Manage provider inquiries related to claims, reimbursement, and network participation.
  • Monitor provider satisfaction and KPIs; address issues promptly.
  • Collaborate with Claims, Contracting, Credentialing, and Operations teams as needed.

Skills

Provider relations experience
Contracting & credentialing
Claims processing knowledge
Regulatory compliance knowledge
MS Office & CRM proficiency
Communication & negotiation

Education

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

Tools

CRM systems

Job description

Judi Health, LLC in New York seeks a Medical Network Provider Relations Manager to build and sustain strategic relationships with hospitals, physician groups, and network partners. You will coordinate with the Network Development, Contracting, Claims, Operations, and Client Services teams to support engagement and drive network performance.

The role emphasizes provider satisfaction, contract compliance, issue resolution, and education through meetings, trainings, and communications.

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