Customer Service Provider Relations

A highly experienced and results-driven healthcare professional, with several years of success in provider relations, recruitment, operations management, and managed care within complex healthcare organizations. Expertise in full-cycle recruitment, proven track record of consistently exceeding provider recruitment goals. Strategic thinker and effective communicator that excels at translating complex contract negotiations into mutually beneficial relationships.

Dynamic leader who fosters collaboration, and harnesses the collective expertise of team members to achieve shared goals across cross functional teams.

Professional Summary

Professional Experience

Physician/Provider Recruiter

Veterans Health Administration

Sourced, screened, and hired top-tier physicians across multiple specialties for two VA medical centers, increasing placement efficiency by 30%.

Implemented full-cycle recruiting strategies, leveraging digital tools and networking to enhance candidate engagement.

Fostered strong relationships with hiring managers and executive leadership to streamline credentialing and onboarding processes.

August 2023 – present

Lebanon/Coatesville, PA

Provider Recruiter

Groups Recover Together

September 2021 – August 2023

Burlington, MA

Successfully recruited physicians and advanced practice providers across multiple states, exceeding projected recruitment goals by 15%.

Built a strong candidate pipeline through innovative sourcing strategies, including social networking and referrals. Coordinated the interview and onboarding process, reducing time-to-hire by 20% while providing seamless integration of new hires.

Core Competencies

Provider & Customer Relations

Onboarding & Credentialing

Retention/Succession Planning

White Glove Customer Service

Physician & APP Sourcing

Contract Negotiations

Policy & Procedure (SOPs) Development

Budgeting & Strategy Mapping

PBM Knowledge

Business Development

Executive-Level Reporting

Strategic Planning

Project Management

Special Events Management

Marketing Communications

linkedin.com/in/hopevf

*****@***.***

Hope V. Hossenlopp, MHA 716-***-****

Supervisor of Contract Management

Fidelis Care

March 2018 - February 2019

Getzville, NY

Directed the network development, including contract negotiations & contract maintenance functions for all of Buffalo, Rochester, & Syracuse, and their surrounding counties, for over 20,000 providers. Led a team of 8 Contract Management Representatives, driving efficiency in network expansion, while ensuring all County, State, HCFA, and NCQA requirements were met. Addressed access and capacity challenges, optimizing contracts for hospitals, ancillary facilities, and physician groups. Provider Relations Representative

Nascentia Health/VNA Homecare Options

August 2016 - February 2018

Syracuse, NY

Acted as the primary liaison for the MLTC plan and the WNY provider network, securing contracts with 15% of the non- participating key providers identified.

Conducted on-site visits for provider education and training, enhancing compliance and satisfaction. Led recruitment activities, network analysis, and retention efforts to maintain network adequacy. PBM Relations Specialist

Meritain Health, A CVS Company

May 2015 - August 2016

Amherst, NY

Analyzed, researched, and composed compelling responses for RFPS and presentations supporting Meritain’s sales strategy, emphasizing strengths of their products and services. Facilitated seamless coordination between Meritain Health, Aetna, and all PBM vendors. Contributed to continuous improvement initiatives, streamlining processes and enhancing operational efficiency. Education

Master of Science - Health Administration

Russell Sage College - Albany, NY

Bachelor of Science - Business Administration

SUNY at Fredonia - Fredonia, NY

Pharmacy Operations Manager

The VNA of WNY

March 2019 - March 2020

Buffalo, NY

Managed all non-clinical pharmacy operations, improving efficiency by 40% through workflow optimization. Partnered with pharmacists to exceed patient satisfaction benchmarks and guarantee regulatory compliance. Executed budgeting, marketing, and logistics, while leading a team of customer service reps, delivery drivers, and warehouse staff.

Senior Provider Relations Representative

Molina Healthcare of New York

June 2020 – August 2021

North Syracuse, NY

Performed provider training, claims research, and network development across multiple counties, achieving a 95% provider satisfaction rate.

Optimized network adequacy while maintaining compliance with federal, state, and local regulations for Allegany, Chautauqua, Cattaraugus, and Erie counties as well as Western PA. Strengthened relationships with key providers to enhance retention and streamline contract negotiations.

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