Provider Success Specialist

2 days ago

Stamford, Connecticut, United States NationsBenefits, LLC Full time

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.

Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.

Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.

We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.

Role:

The Provider Success Specialist (PSS) is responsible for supporting provider relationships, ensuring quality service delivery, and assisting with provider compliance and performance. This role focuses on onboarding, training, and maintaining strong partnerships while driving efficiency and resolving operational challenges.

Responsibilities:

Provider Onboarding & Training

  • Assist newly approved providers through onboarding, ensuring proper system setup.
  • Provide training on operational tools, including trip management, real-time status updates, and payment processes.
  • Offer ongoing guidance and best practices to ensure providers understand expectations and compliance requirements.

Provider Relationship & Performance Support

  • Serve as the primary support contact for assigned providers, building positive working relationships.
  • Conduct monthly provider check-ins to review key performance metrics and address concerns.
  • Send weekly performance updates, keeping providers informed of their progress.
  • Work with internal teams to assist in resolving provider issues, disputes, and payment concerns.
  • Monitor quality and compliance standards, ensuring providers maintain high service levels.

Process Improvement & Compliance

  • Identify high-risk providers and assist in implementing corrective action plans.
  • Track provider adherence to performance metrics such as on-time rates, response rates, and service reliability.
  • Assist with quality audits to prevent fraud and improve service consistency.
  • Support the development and refinement of policies, training materials, and operational processes to optimize provider performance.
  • Work with leadership to support provider network growth and improve market coverage.

Qualifications:

  • 2+ years experience in provider/vendor support, customer success, or operations (healthcare, transportation, or logistics preferred).
  • Strong relationship-building, problem-solving, and communication skills.
  • Data-driven mindset with experience reviewing KPIs and performance metrics.
  • Ability to manage multiple provider relationships and priorities effectively.

NationsBenefits is an Equal Opportunity Employer.

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