PROVIDER RELATIONS COORDINATOR bei MAYERS MEMORIAL HOSPITAL DISTRICT

Description

Reports To: Chief Human Resources Officer and Director of Quality

Employee Type:            EXEMPT                     NON-EXEMPT

POSITION SUMMARY:

The Provider Relations Coordinator serves as a vital link between the organization and its healthcare providers, fostering strong, collaborative relationships to support organizational growth and operational excellence. This role involves the entire provider experience with the district, from credentialing, privileging, enrollment and developing and implementing strategies to engage providers, to overseeing incentive programs, and facilitating provider recruitment, retention, and satisfaction initiatives. The coordinator collaborates closely with clinical, administrative, marketing, and finance teams to ensure provider engagement aligns with organizational goals, quality standards, and regulatory requirements. Additionally, the position supports quality improvement efforts by assisting in the design and monitoring of CQI programs, analyzing provider performance data, and ensuring compliance with healthcare laws and organizational policies. Through effective communication, data-driven decision-making, and strategic outreach, the Provider Relations Coordinator aims to enhance provider satisfaction, optimize performance, and promote positive patient outcomes.

This job description is intended to identify some of the primary duties and responsibilities.  Mayers Memorial Hospital District reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at MAYERS MEMORIAL HOSPITAL DISTRICT’S sole and absolute discretion.

POSITION QUALIFICATIONS:

1. Bachelor’s degree in Healthcare Administration, Business, or related field.
2. Minimum of 3 years’ experience in credentialing, privileging and enrollment, provider relations, provider network management, quality improvement or healthcare administration. 
3. Proven experience with incentive/bonus program design and management, particularly wRVU models. 
4. Strong analytical skills with proficiency in data analytics tools and reporting. 
5. Excellent interpersonal, negotiation, and communication skills. 
6. Ability to lead cross-functional teams and manage multiple priorities. 
7. Knowledge of healthcare regulations, compliance standards, and industry best practices.

POSITION RESPONSIBILITIES:

General Competencies:

1. Professional behavior is demonstrated, both when on duty and as a representative of MMHD outside of normal work hours.
2. Ability to work with others, at all levels within the organization, and collaborate effectively.
3. Above-average interpersonal, problem-solving, and written and oral communication skills.
4. Organizational ability and time management are demonstrated.
5. Produces deliverable products on time, within budget with minimal direction.
6. Maintains an organized set of records, upon request, for the functions that are performed within the scope of this job.
7. Communicates appropriately and clearly to directors, managers, and coworkers.
8. Performs all assigned tasks accurately, to include proper spelling and grammar, reference materials, and minimal mathematical calculation.
9. Takes direction from others to include those employees of other departments with which he/she works on a temporary basis in accordance with the chain of command.
10. Maintains all information as confidential as appropriate, to include payroll, personnel information, and other information obtained during the course of performing job duties that is confidential.
11. Demonstrates ability to effectively use office technology in the performance of job functions.
12. Answers phone calls, assists public, and forwards appropriately if necessary and in a professional and friendly manner.
13. Knowledge of supervisory principles and activities relate to directing a workforce that provides 24/7 services
14. Must possess proficient knowledge and ability to understand the processes involved in credentialing, privileging and enrollment.
15. Ability to supervise and train others in a variety of complex activities
16. Ability to exercise independent judgment based on information presented.
17. Other duties as assigned.

 

 

 

Specific Competencies:

1. Internal and External Provider Relations Management
   1. Develop and implement strategies to build and maintain positive, collaborative relationships with healthcare providers, clinics, and ancillary providers. 
   2. Serve as the primary point of contact for provider inquiries, concerns, and feedback, ensuring timely resolution and continuous improvement.
   3. Conduct regular provider meetings, site visits, and surveys to assess needs, satisfaction, and opportunities for engagement. 
   4. Collaborate with clinical and administrative leadership to address provider issues, streamline workflows, and improve operational efficiency.
2. Provider Bonus Program Oversight
   1. Design, implement, and monitor provider incentive programs, including wRVU bonus models and comprehensive bonus structures aligned with organizational goals. 
   2. Analyze provider productivity metrics, ensuring accurate and fair calculation of bonuses based on performance data. 
   3. Collaborate with finance and compliance teams to develop and refine bonus models for transparency, motivation, and sustainability. 
   4. Communicate bonus program details, updates, and performance expectations effectively to providers and internal stakeholders.
3. Provider Alignment, Engagement, and Retention
   1. Lead initiatives to enhance provider engagement through recognition, professional development, and participation in organizational decision-making. 
   2. Identify and address factors impacting provider satisfaction and retention, developing targeted action plans. 
   3. Develop strategies to integrate new providers smoothly into the organization, including onboarding and cultural alignment. 
   4. Track retention metrics and develop interventions to reduce provider turnover.
4. Provider Recruitment
   1. Lead provider recruitment initiatives to attract high-quality physicians, specialists, and advanced practice providers aligned with organizational growth and community needs.
   2. Develop and execute comprehensive recruitment strategies, including targeted outreach, relationship-building with recruiting agencies, and participation in industry events.
   3. Collaborate with clinical leadership and HR to define position requirements, compensation packages, and onboarding processes.
   4. Manage the candidate screening, interview coordination, and selection processes, ensuring a seamless experience for prospective providers.
   5. Build and maintain a pipeline of potential providers by fostering relationships with medical schools, residency programs, and professional networks.
   6. Ensure all recruitment activities comply with legal, regulatory, and organizational policies.
5. Provider Performance and Analytics
   1. Utilize data analytics tools to monitor provider productivity, quality metrics, patient satisfaction scores, and bonus program outcomes. 
   2. Prepare regular reports for senior leadership, highlighting trends, opportunities for improvement, and ROI of provider-related initiatives.
6. Cross-Functional Collaboration
   1. Partner with clinical, operational, marketing, and finance teams to align initiatives around provider satisfaction, performance, and patient outreach.
   2. Participate in strategic planning to integrate provider relations into organizational growth and community health objectives.
7.  Compliance and Regulatory Adherence 
   1. Ensure all bonus programs and provider relations activities comply with healthcare laws, regulations, and organizational policies. 
   2. Maintain documentation and reporting standards for incentive programs to ensure transparency and audit readiness.
   3. Track provider education, training and compliance requirements per licensure.
8. Quality Improvement
   1. Supports the Director of Quality (DOQ) in planning, designing, implementing, and maintaining a district-wide continuous quality improvement (CQI) program, including accreditation and compliance efforts. 
   2.  Collaborates with internal stakeholders to identify, problem-solve, and monitor QI issues, ensuring adherence to internal and external standards. 
   3. Reviews medical records and documentation to assess quality of care, assists in gathering data, and prepares reports for accreditation bodies like ACHC. 
   4. Analyzes QI data, including variances, patient satisfaction, and HEDIS measures, to identify improvement opportunities and risk management concerns. 
   5. Educates staff on QI systems, participates in meetings and conferences, and effectively communicates findings and strategies to healthcare team members.
9. Credentialing, Privileging and Enrollment
   1. Attendance at medical staff committee meetings, preparing monthly calendars, agendas, and information packets as appropriate.  Sends notices or calls members as appropriate or upon the request of the Chief of Staff.
   2. Maintains confidential credential files on all members of the medical staff, including current staff status, current licensure and other certifications and current clinical privileges.
   3. Coordinates the credentialing, appointment and reappointment processes, obtains necessary data for each applicant.
   4. Performs clerical duties for medical staff officers, department and committee chairpersons, and administrator to assure compliance with the medical staff bylaws and rules and regulations.
   5. Communicates appropriately and clearly to physicians, staff, director, and administrative team.

 

 

Professional Requirements:

 

1. Adheres to dress code; appearance is neat and professional.
2. Completes annual education requirements if applicable.
3. Maintains regulatory requirements.
4. Wears identification while on duty.
5. Attends annual evaluation and participates actively in this process.
6. Reports to work on time and as scheduled; completes work in designated time.
7. Attends all meetings as appropriate.
8. Exhibits the mission, ethics and goals of Mayers Memorial Hospital District in the performance of job duties.

 

WORKING CONDITIONS:

 

1. Willingness to work beyond normal working hours and in other positions temporarily when necessary.
2. Is involved with personnel, visitors and government agencies, etc., when necessary.
3. Must function independently, have personal integrity, have flexibility and the ability to work effectively with other personnel, clients and support agencies.

 

PHYSICAL REQUIREMENTS:

 

1. Sits, stands, bends, lifts, walks and moves intermittently during working hours.
2. Able to lift 20 lbs.

Qualifications

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