Senior Provider Relations Manager

Role Overview

• Direct supervision to a diverse team of external facing team members supporting commercial healthcare, and IFP.
• Accountable for the end-to-end Provider experience across all products in assigned market to include commercial, and IFP.
• Works closely with Contracting Leads, Network Operation Leads, Market Medical Executives, and Sales to build local market provider relations strategy driving provider experience and HCP index.
• Identifies and recommends opportunities (financial, clinical and operational) for Provider engagement enhancements to the local market leadership team.
• Creates and manages local market action plans that drive annual initiatives to increase provider satisfaction base on survey results, competitive intelligence, etc.
• Ensures team creates, executes and manages strategic and corrective action plans for their aligned book of business.
• Proactively identify new opportunities and risks for Providers at local market level and drives resolution.
• Coordinates all budget and expense management activities through effective planning, monitoring and forecasting.
• Develops and participates in presentations to existing and prospective providers and/or clients.
• Serves as a HCP advocate internally with matrix partners as well as with external provider associations.
• Responsible for the ongoing development of staff including providing feedback, coaching and ongoing development.
• Additionally, this position is responsible for building and fostering relationships with matrix partners while driving toward issue resolution.
• Collaborates with Communications Team on internal and external communication needs.
• Leverage provider relationships to execute market strategies.
• Responsible for ongoing Provider orientation and training.
• Convenes local market Office Manager Advisory Council (OMAC).
• Delivers on regulatory and compliance timelines.
• Responsible for capturing, documenting, and sharing local market competitive intelligence.

Requirements

• Bachelor’s degree or higher strongly preferred or equivalent work experience required in business, health care management or related field experience
• 5+ years in health care service delivery, network development or contract management role highly preferred
• Possess strong leadership skills with a proven successful track record in managing and developing people in a matrixed organization
• Extremely knowledgeable of health plan administrative and operational requirements
• Problem solving skills including the ability to systematically analyze complex problems
• Work in a highly matrixed environment
• Ability to multi-task, shifting effectively among multiple activities.
• Excellent written and verbal communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand as well as the ability to understand and interpret complex information from others.
• Excellent presentation skills
• Proficient in speaking in both individual and group settings
• Experience building strong, positive relationships with providers
• Strong influencing/negotiation skills
• History of reimbursement strategies from both perspective –health system/provider and Payors.

Benefits

• medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays