Provider Relations Advocate
: Job Details :

This is a remote position.

Are you a self-starter with strong communication skills, both written and verbal? Do you have experience working directly with providers in a medical or healthcare setting? We are looking to expand our Provider Management Team with goal oriented and driven individuals!

Leidos QTC Health Services collaborates closely with government and non-government customers to address current and future program needs within the health services domain. We specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing technologies that improve service delivery, with a particular emphasis on enhancing accessibility for examinees in rural communities. With a proven track record of continuous improvement and steady growth, we now handle over 2 million appointments annually. Visit www.qtcm.com for more information

In this rewarding role, you will:

• Work as an advocate for the provider network
• Use pertinent data to identify and solve a range of provider-based issues
• Provide explanations and interpretations for provider-based issues to assist operational team members improve support to providers
• Provide analytics and comparisons of performance for providers
• Communicate issues and assist in resolution with both providers and operations teams
• Investigate non-standard provider requests/issues and works with support teams to resolve
• Partner with utilization team to identify strengths and weaknesses within the provider network and implement actions for improvement where necessary
• Partner with provider relations and utilization teams to develop effective networks
• Assist providers in understanding and meeting their contractual obligations
• Meet face-to-face with providers to discuss progress and assist with follow up training
• Assist in communicating requirement changes related to provider reports, workflows, and system changes
• Perform other duties and responsibilities as assigned
• Travel up to 25% of the time in the regional or nationally, may include evening/weekends
• Have exceptional customer service skills
• Have the ability to work independently with tight deadlines
• Have advanced communication skills both verbal and written
• Have effective time management and sense of urgency
• Have critical thinking skills with problem solving expertise
• Have an ability to maneuver, adapt and address unique nuances of assigned provider region

You must have:

• A bachelors degree from an accredited college in Business, Science or related health field, or equivalent experience/combined education
• 2+ years of customer service experience working directly with independent providers in a medical or pharmaceutical environment
• An ability to successfully pass National Agency Check and Inquiries (NACI) background investigation

Hours: 7:00am - 3:30pm or 8:00am - 4:00pm (your time zone)

Salary Range: $56,700.00 - $69,300.00 + up to 7% bonus eligibility

Pay and Benefits

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here: Join Our Team | Jobs & Career Opportunities | Leidos QTC Health Services (qtcm.com)

The Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Leidos QTC Health Services. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

* This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR 60-1.35(c)