Provider Success Specialist

Posted 9 Days Ago
Be an Early Applicant
Plantation, FL
In-Office
Junior
Healthtech
The Role
The Provider Success Specialist manages provider relationships, supports onboarding and training, monitors performance metrics, and addresses compliance and operational challenges to improve service delivery.
Summary Generated by Built In

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. 

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
Costa Mesa, CA
115 Employees
Year Founded: 2015

What We Do

NationsBenefits® is a leading supplemental benefits company providing managed care organizations with innovative healthcare solutions helping to promote independence, health, and well-being for more than 20 million members across the U.S.

When the company was founded in 2015 by Glenn Parker, M.D., we set out to disrupt the healthcare industry. In 2020, we rebranded to NationsBenefits to expand the company’s core offering and broaden the scope of our clinically focused services.

Today, we surpass traditional benefit management programs by helping our health plan partners drive growth, improve outcomes, reduce costs, and delight members. Our best-in-class service model engages members in meaningful and measurable ways with technology-based solutions tailored to the unique needs of each population.

Similar Jobs

Cox Enterprises Logo Cox Enterprises

Account Executive

Automotive • Cloud • Greentech • Information Technology • Other • Software • Cybersecurity
Hybrid
Pensacola, FL, USA
50000 Employees
29K-64K Annually

Cox Enterprises Logo Cox Enterprises

Marketing Specialist II

Automotive • Cloud • Greentech • Information Technology • Other • Software • Cybersecurity
Hybrid
Orlando, FL, USA
50000 Employees
60K-89K Annually

TravelPerk Logo TravelPerk

Sales Development Representative

Artificial Intelligence • Fintech • Greentech • Sales • Software • Travel • Hospitality
Easy Apply
Hybrid
Miami, FL, USA
1800 Employees
53K-55K
Hybrid
The Reserve of Old Tampa Bay, Town 'n' Country, FL, USA
289097 Employees

Similar Companies Hiring

Axle Health Thumbnail
Logistics • Information Technology • Healthtech • Artificial Intelligence
Santa Monica, CA
17 Employees
Camber Thumbnail
Social Impact • Healthtech • Fintech
New York, NY
53 Employees
Sailor Health Thumbnail
Telehealth • Social Impact • Healthtech
New York City, NY
20 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account