Returning Candidate?

Provider Relations Specialist

Provider Relations Specialist

Job Locations 
US-PA-Pittsburgh
Category 
Clinical

More information about this job

Overview

Aspire_Health

 

Aspire Health is the nation’s leading non-hospice community-based palliative care provider. Aspire specializes in providing an extra layer of support to patients facing a serious illness through an ambitious palliative care program focused on caring for patients in their homes and outpatient clinics. Aspire’s clinicians are experts in providing patients with relief from the symptoms, pain, and stress of a serious illness; helping patients and caregivers navigate the healthcare system; guiding patients and caregivers through difficult and complex treatment choices; and providing emotional and spiritual support to patients and their families. Our core values are Clinical Excellence, Compassion, Teamwork, and Going the Extra Mile!

Responsibilities

Establishment of market:  Identify key stake holders and effectively manage relationships across the continuum of care. These stakeholders include:

 

Physician Practices – Identify and prioritize physician groups within health plan networks. Determine key leaders, optimal outreach, group needs, and provide initial education on Aspire services.  Determine different levels and type of meeting needed and standardize meeting cadence across various stakeholders. Drive meetings with their CEO, Director of Quality, and Aspire leadership. Organize regular meetings with Director of Quality/referring key contact and Aspire Provider Outreach. Generate Initial and ongoing individual practice meeting with physicians and/ or office manager. Provide education, ongoing assistance and customer service.  Furnish metrics and reporting around patient outcomes.

 

Health plans – Lead regular collaborative meetings with executive leadership, clinical, care management, and provider relations. Evaluate and report progress on care implementation, referrals, provider issues, complicated cases and concerns.   Lead regular meetings to develop planning and communication.  Schedule joint meetings with provider/ referral sources, as needed.  Facilitate ad lib meetings with provider relations rep from insurance plan with key referral sources as necessary

 

Hospital Systems- Identify key hospitals and leaders, as well as determine group needs, establishing meeting frequency and cadence.  Interface with case management/SW and discharge planners, palliative care, and Director of Quality.  Provide education, ongoing assistance and customer service.  Furnish metrics and reporting around patient outcomes

 

Home Health and Hospice agencies -Determine those connected with health plan, hospital systems.  Determine market share and prioritize outreach based on volume expected.  Establish and manage partnerships with various Home Health and Hospice organizations

 

Skilled Facilities/ALF/PCH –  Establish relationships with leadership, staff, etc. and educate on Aspire services and how to best collaborate

 

Community Agencies – (home care private duty, Senior advising agencies).  Outreach to various organizations to provide education and serve as point of contact for potential referrals 

 

Provider Relations: 

Serve as the key contact for referral sources and provide account maintenance.  Manage relationships with external stakeholders and respond to customer concerns. Provide unique outcome data, dashboards, updates.  Networking, Prospecting

Understand needs of customer to build relationships and establish trust. Ability to close a sale and develop working solutions to address concerns. Drive networking and prospecting and maintain high level of customer service at all times.  Act as public relations arm, creating materials and public messaging.  Vendor tables at professional symposiums, health fairs etc.
 

Sales Planning:

       Create weekly goals, report out those goals, and execute. Track and provide output of weekly activities to ensure alignment with leadership.  Coordinate and organize travel to ensure weekly goals are met.  Prioritize healthcare

      organizations and outreach activities based on expected           sales yield and identify new business prospects. Identify key stakeholders and establish visit guidelines for each account level (A,B,C level accounts).  Collect

      opportunity lists for upcoming visits with various stakeholders and identify potential cross-sales opportunities.  Organize informational materials for various stakeholders and provide during meetings. 

 

Communication:

Internal –  Collaborate consistently with team members to respond to the requests of customers by identifying, interpreting and communicating the needs of referral sources to increase customer satisfaction and improve service.  Establish criteria for messaging materials. Assist in referral process and protocol. Serving as liaison for internal questions and interfacing with referral sources. 

 

External – Identify referral sources the value proposition and benefits of palliative care, specifically, our service.  Provide reports, data, and outcomes.  Ongoing customer service and interface for referral sources.  Fielding and answering questions daily re: services (i.e. interface with Health Plan, with home health agencies, with MD office managers)  Trouble shooting and problem solving concerns.  Composing written materials and drafting emails, letters, briefs in conjunction with health plan (i.e. FAQs etc.).  Negotiation skills.    Educational presentations, formal and informal, lead group discussions.

 

Leadership and Team Support:

Inter-disciplinary team education and support, providing market trends and updates from referral sources.  Assist in operations, managing cross functional relationships internally to improve referral flow.  Develop consistent messaging within care delivery team

Ensuring care delivery meets expectation of referral sources.  Collaborating with internal team regarding care management coordination and collaboration with referral source.   Liaison between field staff and physician offices.  

Filtering complaints from the field, reviewing with team and following up with referral source.  Cross functional troubleshooting regarding concerns.  Establishing protocols and processes for tracking referrals, outcome data.

Qualifications

A successful candidate will have a bachelor’s degree (preferred).  Minimum 2 years of experience serving as liaison to health plans and/or physician groups.  Previous B2B sales experience a plus.  Excellent verbal and written communication skills.  Ability to communicate with employees at all levels of the organization.  Excellent interpersonal skills.  Ability to create prioritized sales plan and execute on plan.  Excellent presentation and facilitation skills.  Strong organization and administration abilities.  A demonstrated commitment to high professional ethical standards.  Ability to adapt to a fast paced continually changing business and work environment while managing multiple priorities.

 

Travel:

Up to 100% travel may be required