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Provider Relations Contract Specialist

Streamline WorkComp is seeking a motivated and detail-oriented Provider Relations Contract Specialist to join our team in the Hospital & Healthcare industry. As a leader in Diagnostics and Physical Medicine claims for the workers' compensation industry, we are dedicated to providing exceptional service to our customers and ensuring access to quality providers. Our company was founded by workers' compensation and healthcare professionals who understand the complexities of this industry and are committed to creating a mutually beneficial business model for all stakeholders.

In this role, you will be responsible for managing provider contracts and relationships to ensure a seamless and efficient experience for our customers. You will work closely with our provider network, negotiating contracts, resolving issues, and ensuring compliance with all relevant regulations. The ideal candidate will have a strong background in healthcare operations, excellent communication skills, and a passion for delivering high-quality service to our customers.

Responsibilities

  • Build and maintain strong relationships with our provider network
  • Negotiate and manage agreements with providers, including fee schedules, payment terms, and service level agreements
  • Collaborate with internal teams to ensure seamless contract implementation and ongoing compliance
  • Resolve issues and disputes with providers in a timely and efficient manner
  • Monitor provider performance and ensure compliance with contract requirements
  • Stay up to date on industry regulations and trends to inform contract negotiations and compliance efforts
  • Provide support and guidance to providers regarding contract terms, billing processes, and other operational inquiries


  • Strong knowledge of healthcare operations and regulations, particularly in the workers' compensation industry
  • Excellent negotiation and relationship-building skills
  • Effective problem-solving and decision-making abilities
  • Outstanding attention to detail and organizational skills
  • Exceptional written and verbal communication skills
  • Proficient in Microsoft Office Suite and contract management software
  • Competitive Salary
  • Generous Bonus Plan
  • Comprehensive Health Care Plan (Medical, HSA, Dental, Vision)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation & Holidays)
  • FMLA Leave
  • Short-Term & Long-Term Disability
  • Work-from-Home Flexibility

Average salary estimate

$70000 / YEARLY (est.)
min
max
$60000K
$80000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Provider Relations Contract Specialist, Streamline WorkComp

If you're looking for a rewarding opportunity in the Hospital & Healthcare industry, Streamline WorkComp is excited to welcome a detail-oriented Provider Relations Contract Specialist to our dynamic team. We pride ourselves on our expertise in Diagnostics and Physical Medicine claims within the workers' compensation sector. We’ve crafted our business model to benefit every stakeholder, thanks to insights from our founders who have deep roots in both workers' compensation and healthcare. In this role, you’ll be at the forefront of managing provider contracts and building strong relationships to ensure our customers receive top-notch service. You'll negotiate contracts with our provider network, troubleshoot issues, and ensure compliance with regulations. We're on the lookout for a candidate with a solid background in healthcare operations, remarkable communication skills, and a genuine passion for delivering excellent service. You will be responsible for monitoring provider performance, collaborating with various teams within our organization, and staying updated on industry trends. Attention to detail is essential, as is your ability to effectively problem-solve and make sound decisions. Perhaps best of all, we offer a competitive salary, a generous bonus plan, and a comprehensive healthcare package, ensuring that you and your family are well taken care of. With benefits like flexible work-from-home options, paid time off, and disability coverage, your work-life balance is a top priority for us. Join us, and let's make a difference together in the healthcare landscape!

Frequently Asked Questions (FAQs) for Provider Relations Contract Specialist Role at Streamline WorkComp
What are the responsibilities of a Provider Relations Contract Specialist at Streamline WorkComp?

As a Provider Relations Contract Specialist at Streamline WorkComp, your main responsibilities include managing provider contracts, negotiating agreements, and maintaining strong relationships with our provider network. You’ll also collaborate with internal teams to ensure compliance, troubleshoot issues, and support providers regarding billing processes and contract terms.

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What qualifications are needed for the Provider Relations Contract Specialist role at Streamline WorkComp?

To be successful as a Provider Relations Contract Specialist at Streamline WorkComp, you should possess a strong background in healthcare operations, excellent communication abilities, and negotiation skills. Familiarity with healthcare regulations, especially concerning workers' compensation, is also crucial, along with effective problem-solving skills and a keen eye for detail.

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What benefits does a Provider Relations Contract Specialist receive at Streamline WorkComp?

Streamline WorkComp offers a comprehensive benefits package for Provider Relations Contract Specialists, including a competitive salary, a generous bonus plan, health care benefits (including medical, dental, and vision), life insurance options, paid time off, and flexibility to work from home, ensuring you have a healthy work-life balance.

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How does the Provider Relations Contract Specialist contribute to Streamline WorkComp’s success?

The Provider Relations Contract Specialist plays a pivotal role at Streamline WorkComp by ensuring effective communication between our providers and internal teams. By negotiating contracts and resolving issues promptly, you help maintain the quality of service we provide to our customers, which is vital for our reputation and success in the workers' compensation industry.

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What skills should a Provider Relations Contract Specialist at Streamline WorkComp possess?

Key skills for a Provider Relations Contract Specialist at Streamline WorkComp include outstanding negotiation and relationship-building abilities, strong written and verbal communication skills, excellent organizational skills, and a comprehensive knowledge of healthcare operations, specifically related to workers' compensation.

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Common Interview Questions for Provider Relations Contract Specialist
Can you describe your experience with provider contracts?

When answering this question, focus on specific examples of contracts you've managed. Explain the types of agreements you've negotiated, any challenges you faced, and how you ensured compliance with all relevant regulations. Highlight your attention to detail and your ability to resolve issues effectively.

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How do you handle conflicts with providers regarding contract terms?

Discuss a specific instance where you resolved a conflict, emphasizing your communication and negotiation skills. Explain how you approached the situation, the steps you took to understand the provider's perspective, and how you worked collaboratively to reach a satisfactory agreement.

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What strategies do you use to build strong relationships with providers?

Explain your approach to relationship-building, such as maintaining regular communication, being approachable, and understanding their needs. Share examples of how you've developed trust and rapport with providers in past roles.

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What are the most important factors to consider when negotiating contracts?

Identify key factors such as the needs of both parties, compliance with regulations, potential risks, and long-term relationships. Explain how considering these elements can lead to mutually beneficial agreements and successful contract implementations.

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Can you explain how you monitor and ensure provider performance?

Share the methods you've used to track provider performance, such as key performance indicators (KPIs) or compliance checks. Discuss how you address underperformance and the strategies you implement to ensure ongoing compliance and quality service.

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How do you stay updated on industry regulations impacting provider contracts?

Discuss the resources you utilize to keep abreast of industry changes, such as professional organizations, continuing education, or networking. Highlight any specific regulations or trends you've recently learned about and how you anticipate applying this knowledge.

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What role does attention to detail play in your position?

Emphasize how attention to detail affects everything from contract negotiations to regulatory compliance. Provide examples of situations where your focus on detail improved outcomes or helped avoid potential issues.

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Describe a time when you had to provide support to a provider regarding contract terms.

Detail a specific scenario where you guided a provider through complex terms or billing processes. Highlight your communication skills and your ability to break down complicated information into manageable pieces.

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What tools or software have you used for contract management?

Mention specific tools you've worked with, such as Microsoft Office or dedicated contract management software. Describe how you've used these tools to improve efficiencies in your workflow or manage documentation more effectively.

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How would you approach a significant change in laws affecting provider contracts?

Outline your proactive approach to understanding legislative changes, including researching the new laws, assessing their impact on existing contracts, and communicating necessary changes to affected providers clearly and effectively.

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Full-time, remote
DATE POSTED
December 14, 2024

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