Job Description
MAJOR RESPONSIBILITIES
The Network Relations Consultant (NRC) is responsible for developing and fostering relationships with health plan contacts, providers including physicians and staff to increase participation in HealthHelp’s UM programs. He/she builds and cultivates positive interactions with the providers and health plans to advance the goals of the HealthHelp suite of programs and promotes consistency with various provider/payer contractual obligations.
JOB RESPONSIBILITIES:
- Develops, expands, and fosters long-term positive provider and market-level relationships
- Ensures overall client and provider satisfaction with timely response to issues and questions
- Prepares for and conducts regularly scheduled provider conference calls/meetings to address service delivery expectations, progress, planning, review of deliverables, service delivery outcomes, education regarding products, and issues resolution
- Contacts provider regarding education and participation in HealthHelp’s Radiology Management Services programs
- Reviews routine and ad-hoc reports for accuracy and trends and compiles dashboards for distribution to the providers
- Educates providers about HealthHelp’s ever-expanding portfolio of products and services, ensuring continually updated knowledge about HealthHelp
- Ensures providers receive appropriate education regarding HealthHelp’s processes and protocols
- Documents all activities accurately and completely within the database/portal
- Assists in the development of strategic initiatives to roll out new provider programs
- Adheres to all regulatory requirements and comprehends and complies with best practices, professional standards, internal polices, and procedures
- Performs in-house and field network-related functions, including network education, relationship building, and problem resolution
- Works in collaboration with cross-functional teams to identify trends and assists in developing strategies to enhance client satisfaction and drives growth and expanded business for HealthHelp
- Assists to design and/or enhances documentation, process flows, and training materials for use both internally by HealthHelp staff and externally by the provider and/or client
- Identifies service issue trends and collaborates with cross-functional teams to develop and implement improvement plans
- Monitors provider concerns and issues and provides feedback to the appropriate associates/departments.
- Assists in developing and communicating the appropriate and timely response to providers and our health plan partners
- Keeps HealthHelp leadership informed of performance, critical issues, etc.
- Performs other duties and projects as assigned