Provider Engagement Manager

Description:

The Provider Engagement Manager builds relationships with Post-Acute Care/DME/Home Solutions providers; drives performance through data analysis and metrics and develops “Centers of Excellence” along with clinical and medical economics. Acts as the main contact for Partner Executive, Managerial and Administrative Staff. Acts as a liaison between business internal operations and clinical teams and our provider partners. Solves process problems crossing multiple functional areas and business units by getting to the right department. Analyzes the problem, draws relevant conclusions, and devises and implements appropriate plan of action. Proactively identifies issues that may hinder provider relationships, utilization and financial performance and works with key individuals within the organization to implement solutions. In conjunction with Clinical and marketing teams, identifies provider education/outreach needs, develops communication strategy, and assists in collateral development.

What you must have
 

• • Bachelor’s Degree, preferred or equivalent work experience
  • 5+ years’ healthcare experience in operations, network development, project management and/or provider service management
  • Excellent negotiation skills
  • Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels.
  • Proven ability to build strong relationships with the provider community.
  • Strong financial analytics experience
  • Proven ability to solve process problems crossing multiple functional areas and business units
  • Exceptional presentation, written and verbal communication skills.
  • Ability to work independently and remain on task.  Good organization and planning skills.
  • Ability to effectively manages one’s time and resources to ensure that work is completed efficiently
  • Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership



 
• Duties and Responsibilities
  • • Provides expert content/professional leadership on complex Provider Relations assignments/projects.
    • Manages specific programs and/or processes in the development and management of physician/provider network, which includes recruiting, servicing, and training health care professionals.
    • Builds and maintains effective long-term relationships and a high level of satisfaction with key senior-level decision makers and influencers of an assigned group of providers that may include key strategic partnerships.
    • Specific responsibilities include, but are not limited to: developing and maintaining effective health care professionals recruitment and retention programs; initiating and maintaining effective communication channels with contracted health care professionals to ensure understanding of policies and procedures; participate in work groups to develop processes to improve satisfaction.
    • Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses deep professional knowledge and acumen to advise functional leaders.
    • Focuses on providing thought leadership within Provider Relations but works on broader projects, which require understanding of wider business.
    • Ideal candidate will reside in or around the states of: MS, AL, GA, SC or FL and is expected to travel on an as needed basis to client/provider locations in this region.