National & Vendor Business Partner Provider Relations Advocate (Legal)

This position is remote. 

The National & Vendor Business Partner Provider Relations Advocate (NPRA) oversees all aspects of provider relations and service interactions, collaborating closely with large provider groups. Their responsibilities include supporting Account Managers in directing and implementing strategies for developing and managing national accounts. The NPRA helps identify and resolve provider issues, working to address them effectively while conducting root cause analyses to prevent future occurrences. Additionally, they support the use of information technology, ensuring ease of use for the provider portal, communicating upcoming system enhancements, and promoting ongoing provider development after initial orientation and training. NPRA also plays a key role in designing and implementing programs that foster positive relationships between National and Vendor Business Partners and business operations through regular meetings and provider report cards.

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:

• Act as an advocate for National and Business partner accounts.
• Utilize relevant data to identify and address a variety of provider-related issues.
• Provide explanations and interpretations of provider issues to help operational team members enhance their support for providers.
• Deliver analytics and performance comparisons for providers.
• Communicate issues and facilitates resolutions with both providers and operational teams.
• Investigate non-standard provider requests/issues and collaborates with support teams for resolution.
• Partner with Account Managers and the utilization team to assess strengths and weaknesses within the provider network and implement necessary improvements.
• Collaborate with provider relations and utilization teams to create effective networks based on provider needs.
• Assist providers in understanding and fulfilling their contractual obligations.
• Participate in regular virtual Joint Operating Committee meetings with partners and at least one annual in-person meeting to discuss progress, partnership and provide any additional support.
• Aid in communicating changes related to provider reports, workflows, and system updates.
• Travel up to 25% of the time
• Have exceptional customer service skills
• Work independently with tight deadlines
• Have advanced communication skills both verbal and written
• Have advanced critical thinking skills with problem solving expertise
• Have exceptional ability to maneuver, adapt and address unique nuances of assigned provider region
• Perform other assigned duties and responsibilities as needed.

You must have:

• A bachelor's degree from an accredited college preferably in a healthcare related field or equivalent experience/combined education
• 4-8 years working directly with providers in a medical or pharmaceutical environment highly desired, direct healthcare experience preferred
• The ability to successfully pass National Agency Check and Inquiries (NACI) background investigation

Salary Range: $77,591 - $86,191.95 + 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 contractor's legal duty to furnish information. 41 CFR 60-1.35(c) Professional