Provider relations specialist vs solution specialist

Differences between provider relations specialist and solution specialist duties and responsibilities

Provider relations specialist example responsibilities.

• Design short and long term plans for PCPs to accomplish suggest benchmarks and growth of its membership.
• Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
• Organize and analyze CMS changes for distribution to the team.
• Meet or exceed productivity and quality goals base on CMS guidelines/directives.
• Establish and maintain positive and productive relations with network providers for Medicaid and Medicare.
• Assist in IPA profitability through the recruitment and contracting of key physicians, hospitals and ancillary organizations with target membership panels.
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Solution specialist example responsibilities.

• Lead multiple team meetings covering best practices, new policy and procedures, and explaining new MBO targets.
• Manage existing accounts while identifying new sources of opportunities for sales in the SME segment through cold calling and prospecting.
• Manage payroll and overall candidate compliance regarding eligibility of employment and new hire paperwork.
• Manage billing inquiries, encourage cross-selling and referral for additional property and casualty lines of business.
• Manage Microsoft SQL consolidation project to improve the operational efficiency of database servers and reduce their licensing costs.
• Research and implement new technology solutions including a CRM software, email marketing opportunities, and a company blog.
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