Provider Relations Specialist

Provider Engagement and Performance Manager

The Provider Engagement and Performance Manager plays a critical role in advancing Network Solutions IPA’s (NSIPA) mission by developing, managing, and supporting a high-performing provider network. This role is responsible for fostering strong provider relationships, driving performance in value-based care contracts, and ensuring provider satisfaction through effective engagement, education, and administrative support.

The ideal candidate is proactive, mission-driven, customer-focused, and thrives in a fast-paced healthcare environment. They possess strong communication and analytical skills, a collaborative spirit, and a deep understanding of provider practice operations and value-based care delivery models.

Key Responsibilities

Provider Engagement, Performance & Relationship Management

• Serve as the primary point of contact for a panel of providers within a designated territory.
• Represent and promote NSIPA as the preferred IPA through strong provider relationships and superior service.
• Conduct regular in-person provider visits (3–4 days/week) and manage follow-up activities on administrative days (1–2 days/week).
• Lead new provider onboarding and orientations, ensuring a smooth introduction to NSIPA's programs, policies, and value-based contracts.
• Communicate performance expectations, program updates, and support resources in a clear and timely manner.
• Collaborate with providers to implement quality improvement initiatives and care gap closure strategies.
• Provide practices with performance reports and actionable insights, including quality metrics, care gap data, and population health dashboards.
• Analyze provider performance from a clinical, operational, and financial perspective to identify opportunities for improvement.
• Support access to EMRs, assist with medical record requests, and gather provider cooperation for performance initiatives.
• Identify opportunities to expand or strengthen NSIPA’s provider network in alignment with strategic goals.
• Assist with provider recruitment and engagement strategies in partnership with payers and internal stakeholders.
• Develop an in-depth understanding of the unique needs and challenges of NSIPA’s provider network.
• Support planning and execution of provider meetings, events, and educational seminars.
• Work closely with internal teams across departments (e.g., Quality, Care Coordination, Contracting, IT) to ensure successful implementation of NSIPA initiatives.
• Participate in Joint Operating Committee (JOC) meetings and collaborate with payers as needed.
• Ensure timely resolution of provider issues, inquiries, or concerns, maintaining a high level of service and satisfaction.
• Maintain accurate and up-to-date records of provider contacts, staffing, and key operational information.
• Ensure the quality and completeness of documentation, including onboarding packets, orientation materials, and performance reports.
• Assist with special projects and organizational initiatives, such as events, chart chases, EMR integration, or population health efforts.

Skills & Competencies

• Excellent interpersonal and communication skills, with the ability to build trust-based provider relationships.
• Strong critical thinking and problem-solving abilities.
• Self-motivated, organized, and able to manage competing priorities.
• Proficiency in Microsoft Office Suite and other relevant software platforms.
• A collaborative, entrepreneurial mindset aligned with NSIPA’s mission and provider-first philosophy.

Core Attributes

• Mission-driven and customer service-oriented
• Strong sense of ownership and accountability
• Analytical mindset with the ability to interpret data for actionable insights
• Entrepreneurial spirit with a proactive approach to solving problems
• High level of professionalism, integrity, and emotional intelligence

Education & Experience

• Bachelor’s degree in healthcare administration, public health, business, or a related field (Master’s preferred).
• 3 years of experience in provider relations, network management, or a similar healthcare-facing role.
• Knowledge of value-based care, managed care models, and healthcare provider operations.
• Experience working with EMRs, performance reporting tools, and population health platforms is a plus.

NSIPA is proud to be an equal opportunity employer and values diversity in our network and workplace.