Provider Relations Manager (WI)

Position contingent upon award of contract.

POSITION LOCATION IS IN THE STATE OF WISCONSION

• Recruit, contract, onboard, and maintain a high-performing network of NEMT providers to ensure adequate coverage, capacity, and service availability across all transportation modes and service regions.
• Develop and maintain strong relationships with prospective and existing providers, serving as a subject matter expert on provider operations, network participation, contractual requirements, and business success strategies.
• Coordinate provider application processing, credentialing, contracting, implementation, and operational readiness, including technology adoption, service expectations, and compliance requirements.
• Provide orientation, onboarding, training, and ongoing education to providers regarding contractual obligations, operational standards, compliance requirements, claims processes, and network policies.
• Collaborate with Compliance, Quality Assurance, Operations, and Dispatch teams to ensure providers maintain regulatory compliance, meet performance expectations, and receive appropriate trip assignments based on demand, capacity, and performance.
• Monitor provider performance, network utilization, and service quality; identify performance gaps and coordinate corrective action plans, remediation efforts, and continuous improvement initiatives.
• Analyze network capacity, provider performance, trip volume trends, and market needs to develop network adequacy plans, contingency coverage strategies, surge response plans, and provider recruitment initiatives.
• Negotiate provider contracts and reimbursement rates that support organizational objectives while maintaining provider engagement and network stability.
• Assist providers in improving operational efficiency, fleet utilization, trip routing, profitability, and overall business performance.
• Serve as a resource to providers regarding claims processing, reimbursement issues, operational concerns, and network-related questions.
• Prepare and analyze reports related to provider performance, network adequacy, capacity planning, recruitment efforts, and operational trends; provide recommendations for network enhancements and strategic growth.
• Facilitate provider meetings, town halls, training sessions, and other engagement activities to strengthen provider partnerships and communication.
• Travel up to 50% as required to support provider recruitment, relationship management, training, operational assessments, and network development activities.
• Perform other duties as assigned.

• Demonstrated experience developing, managing, and optimizing NEMT or transportation provider networks across diverse geographic service areas.
• Strong knowledge of provider contracting, credentialing, network adequacy standards, capacity planning, and transportation operations across multiple service modes.
• Proven ability to analyze provider performance, operational metrics, and network utilization data, and implement corrective action plans in collaboration with Quality Assurance, Compliance, and Operations teams.
• Proven leadership skills with experience supporting provider recruitment, onboarding, retention, performance improvement, and relationship management initiatives.
• Excellent written, verbal, and interpersonal communication skills, with the ability to effectively engage providers, internal stakeholders, Department representatives, and executive leadership.
• Strong analytical, organizational, and project management skills, with the ability to manage multiple priorities, maintain contingency and surge response plans, and meet deadlines in a fast-paced environment.
• Self-motivated, results-oriented professional with the ability to work independently, exercise sound judgment, take initiative, and perform effectively under pressure.
• Demonstrated commitment to accountability, professionalism, confidentiality, and ethical business practices.
• Ability to foster a positive team environment through coaching, collaboration, recognition, and constructive feedback.
• High level of proficiency with transportation management systems, reporting platforms, Microsoft Office Suite, and other business applications, with advanced knowledge of Microsoft Excel and Word preferred.
• Ability to adapt to changing priorities, business needs, and operational environments while maintaining flexibility and responsiveness.
• Professional appearance and positive attitude.
• Valid driver's license with a clean driving record.
• Military, EMS, public transportation, healthcare transportation, or related industry experience preferred.
• Ability to successfully pass all required background, credit, and pre-employment screening requirements.