Remote Medicare Network Management Specialist
- Work with Transportation Providers to resolve service issues and troubleshoot problems.
- Utilize data to develop and implement performance improvement plans (PIP).
- Coordinate and conduct monthly provider performance evaluations.
- Handle offboarding for providers not meeting expected standards.
- Serve as the primary contact for vendor service requests and escalations.
- Manage day-to-day vendor interactions and ensure satisfaction.
- Conduct on-site vehicle inspections and audits for compliance with standards.
- Deliver operational support to all vendors in a designated geographic area.
- Collaborate with internal teams to resolve Transportation Provider issues.
- Provide consultations and guidance to Transportation Providers and internal staff.
- Utilize Salesforce for managing vendor interactions and compliance.
- Educate Transportation Provider contacts on operational processes.
- Foster partnerships with assigned transportation providers.
- Assist in facilitating regular provider town hall meetings.
- Address inbound service requests and ensure proper assignment.
- Liaise with internal departments to resolve vendor inquiries.
- Support transportation providers with claims, payments, and eligibility questions.
- Meet assigned KPIs and business objectives.
- Ensure compliance through inspections and audits.
- Submit provider configuration changes to the data management team.
- High School diploma or GED required.
- College Degree or Equivalent Work Experience preferred.
- 2-5 years experience as an Account Manager is essential.
- Minimum of 2 years operational experience required.
- Valid drivers license is necessary.
- Ability to conduct inspections and audits courteously.
- Demonstrate excellent time management skills.
- Knowledge of transportation logistics and managed care is a plus.
- Ability to maintain a positive attitude in high-stress situations.
- Strong negotiation and communication skills.
- Attention to detail is critical.
- Ability to maintain confidentiality at all times.
- Skilled in prioritizing projects and incidents.
- Empathize with customer needs and circumstances.
- Ability to handle emergent situations appropriately.
- Health and Life Insurance Plans.
- Dental and Vision Plans.
- 401(k) with company matching.
- Flexible Scheduling options.
- Paid Time Off and Holiday Pay.
- Maternity/Paternity Leave.
- Birthday Holiday benefits.
- Casual Dress Environment.
- Tuition Reimbursement programs.
- Perks Discount Program.
- Leadership Mentoring Opportunities.
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