VP, Provider Relations

Position Summary

We are seeking a dynamic and experienced Vice President, Provider Relations to lead our efforts in building and maintaining strong partnerships with healthcare providers. The Vice President, Provider Relations will play a crucial role in developing and executing strategies to enhance provider engagement and drive improvement initiatives.

The Vice President, Provider Relations is a full-time, remote, exempt position and reports to the Chief Operating Officer.

Base Salary Range: $225,000 - $250,000 annually.

Specific Responsibilities

• Develop and implement a comprehensive provider relations strategy to achieve organizational goals and objectives.
• Build and maintain relationships with key healthcare providers.
• Collaborate with internal stakeholders, including executive leadership, operations, and product, to align provider relations initiatives with business objectives.
• Develop and lead initiatives such as a Provider Advisory Board to ensure on-going outside-in perspectives to inform our strategies, initiatives, and experiences.
• Identify opportunities for process improvement and operational efficiencies within the provider relations function.
• Stay abreast of industry trends, regulatory changes, and market dynamics affecting provider relations and healthcare delivery.
• Provide leadership and mentorship to across the organization.
• Aligns provider priorities to overall Enterprise strategy.
• Develops strong cross-functional relationships and collaborative approach across all lines of business.
• Define, develop, and deploy a roadmap of new solutions to support provider transformation in the market. Work with cross-functional stakeholders to align and execute the build and deployment of these strategies including but not limited to new product constructs.
  
  

Supervisory Responsibilities

• None.
  
  

Skills

• Experience in a senior leadership role within a healthcare organization.
• Knowledge of current healthcare trends and challenges.
• Experience with healthcare information systems.
• Proven track record of building and maintaining successful relationships with healthcare providers.
• The ability to influence and persuade stakeholders at all levels.
• Excellent communication and interpersonal skills, with the ability to effectively interact with diverse audiences.
• Strategic thinker with the ability to develop and execute innovative initiatives.
• Eagerness to learn, improve, grow, and earn new opportunities – including demonstrating responsiveness to constructive feedback.
• Ability to pivot and quickly adapt in response to changes in the external environment or company priorities.
• Ability to thrive in an intense, accountable environment for a complex, highly diversified, industry-leading, mission-oriented company.
  
  

Experience

• 10+ years of experience in provider relations, network management, managing a physician practice or related healthcare field, with progressive leadership responsibilities.
• Must be a trained clinician with direct experience in delivering patient care.
• Minimum of 5 years of clinical practice experience.
  
  

Clinical Training And Education Requirements

• Clinical Training:
• Completion of accredited clinical training programs corresponding to licensure (e.g., nursing program, medical school, physician assistant program).
• Ongoing participation in continuing medical education (CME) or continuing education units (CEUs) to maintain clinical licensure.
• Education and Certifications:

• For Registered Nurses (RNs):
• Bachelor of Science in Nursing (BSN) required.
• Master of Science in Nursing (MSN) or relevant healthcare administration degree preferred.
• Certification in healthcare leadership or management (e.g., Certified in Executive Nursing Practice (CENP)) is a plus.
• For Physicians (MD/DO):
• Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree.
• Board certification in relevant specialty.
• Additional certification in healthcare management (e.g., Certified Physician Executive (CPE)) is desirable.
• For Nurse Practitioners (NP) and Physician Assistants (PA):
• Master’s degree from an accredited NP or PA program.
• Certification from relevant accrediting bodies (e.g., AANP, NCCPA).
• Additional training or certification in healthcare management is a plus.
  

Who We Are

Named one Modern Healthcare’s “Best Places to Work,” CAQH has helped nearly 1,000 health plans, 2+ million providers, government entities and vendors connect, exchange information and operate more efficiently. CAQH technology-enabled solutions and its Committee on Operating Rules for Information Exchange (CORE) bring the healthcare industry together to make sharing business information more automated, predictable, and consistent. CAQH Insights researches opportunities to reduce the burden of manual processes in healthcare administration.

What You Get

CAQH recognizes that its most important asset is its growing team of smart, creative, collaborative, forward-thinking and passionate professionals – and that a comprehensive employee benefits package is an important factor for them in choosing where to work. CAQH offers competitive compensation along with an extensive benefits package for all full-time employees, including medical, dental and vision coverage, tuition assistance and a 401k. We offer full-time remote work to all staff from any location and maintain a physical office in downtown Washington, DC.

At CAQH, we are proud of our active commitment to Diversity, Equity, and Inclusion (DEI). Our DEI committee works diligently to foster an inclusive workplace where all individuals are valued, respected, and empowered. We embrace diverse perspectives and are dedicated to providing equal opportunities for everyone to thrive. Join us in our mission to transform healthcare through innovative technology solutions while making a positive impact on the lives of diverse communities.

CAQH is an equal opportunity employer. It is our policy to recruit, hire, train, and promote individuals, as well as administer any and all personnel actions, without regard to race, color, religion, sex, national origin or ancestry, age, marital status, disability, protected veteran status, personal appearance, sexual orientation, gender identity or expression, familial status, family responsibilities, matriculation, political affiliation, genetic information, source of income, place of residence, or any other characteristic protected by law. CAQH will not tolerate any unlawful discrimination and any such conduct is strictly prohibited.

Applicants have rights under the Family Medical Leave Act (FMLA), Equal Employment Opportunity (EEO), and the Employee Polygraph Protection Act (EPPA). If you are interested in applying for employment with CAQH and need an accommodation to apply for a posted position, contact CAQH Human Resources at 202-517-0436.