A health services organization in New York City is currently seeking an experienced professional to join their staff as their new Director of Provider Engagement. In this role, the Director of Provider Engagement will be responsible for developing and maximizing improved alignment, driving high performance, and providing a world-class engagement experience with the highest profile providers for the organization.Responsibilities
Lead the Provider Engagement team under the Vice President of Provider Network OperationsDevelop and execute strategies to enhance alignment and performance with key providersDrive market-level projects to optimize quality, risk adjustment, utilization management, financial performance, and membership growthBuild strategic partnerships aligned with business goals through Provider Engagement functions managementCreate and formalize Provider Engagement strategy, including Quarterly Business Review (QBR) processesAnalyze provider group performance data to identify improvement opportunities and focus areasCollaborate cross-functionally with Quality Management, Risk Adjustment, Clinical Services, and Sales to monitor and enhance performance trendsAlign partnership goals with providers' business strategies, ensuring mutual understanding and shared objectivesConduct Quarterly Business Reviews (QBR) covering financial, quality, utilization, and membership metricsGenerate executive-level monthly reports on Provider Engagement activities, performance, and goal progressMaintain monthly executive reports highlighting key provider performance metrics and initiative progressQualifications
Associate's Degree required; Bachelor's degree or equivalent combination of education, training, and a minimum of 10 years of relevant healthcare industry experience in provider network management and value-based environments5-7 years of relevant healthcare industry experience in provider network management and value-based environmentsStrong background in managed care, preferably with experience in network management and value-based rolesExcellent healthcare and financial data analysis skills requiredKnowledge of IPAs, large provider groups, hospital systems, and diverse communities necessary for targeting providers serving various demographicsAbility to interpret contractual language and effectively communicate messages to clients and customers through written and verbal communicationExperience in facilitating and/or negotiating contractual arrangementsDesired Skills
Master of Public Administration (MPA) or Master of Public Health (MPH) degreeSupervisory or team management experience#J-18808-Ljbffr