Manager Provider Engagement

Overall Purpose The Provider Engagement Manager (PEM) is responsible for establishing new relationships with primary care clinic leadership, providers and staff as well as maintaining strategic relationships with primary care providers and their office staff currently in our network. The PEM will work closely with departments and cross collaborate with Operations, Care Management, Quality, Risk Adjustment & Clinical Documentations and Compliance teams to ensure company goals are achieved. Essential Functions Serves as the key stakeholder in relationship with the primary care clinic leadership, provider, and staff. Serves as the operational dyad partner to care management. Result-oriented individual who strategically pursues business with energy and drive and can contribute to the growth and success of a rapidly growing organization. Accountable for achievement of goals specific to assigned primary care clinic and company. Responsible for the operational and financial performance for assigned primary care clinics. Develops strategy, executes tactics, and drives performance to achieve company goals. Develops metrics and tools to measure progress toward company goals. Monitors performance against strategic objectives/directives. Analyzes data for cost reduction initiatives and opportunities for improved delivery of appropriate coordinated care to patients. Provides leadership, mentoring and process management support to Shared Services departments, project management team and key process owners. Works collaboratively with Shared Services departments to support initiatives, services, and support to assigned primary care clinics in ensure company goals are achieved. Organizes and assists in facilitating Joint Operations Committee meetings with assigned primary care clinics and monthly operating review meetings with executive leadership and key stakeholders. Develops and presents key reports to update leadership. Updates metrics trackers for reporting purposes, identifies areas of underperformance and develops/executes plan to correct. Promotes P3 Care Model programs, services, and support and which lead to better patient outcomes and healthier lives. Develops and builds provider engagement and strengthens the relationship between P3 and the providers and staff. Creates lasting engagement with primary care clinic leadership and providers which enables them to use data effectively to coordinate care and reduce inappropriate care. Identify and resolve issues that impact the ability to deliver effective, high-quality health care. Coaches staff on effective communication with primary care leadership and providers, helping to problem solve issues as they arise. Identifies technology and procedure improvement for increased efficiencies, accuracy, and continuous process improvements. Manages resource allocation to maximize effectiveness. Responsible for ensuring compliance with company and CMS regulatory requirements and mandates. Knowledge, Skills, and Abilities Extensive experience in diverse managed care organizations with understanding of key drivers for performance. Proven expertise in Medicare Advantage, value-based model of care. Clinical operations experience preferred including, operational metrics, and financial understanding. Strong customer service skills, is customer service driven, has a positive attitude and is a clear and effective communicator. Highly professional in appearance, tone of language, and delivery of communication. Exceptional organizational and time management skills, with ability to prioritize to meet deadlines. Strong follow-through and results tracking to achieve measurable goals. Ability to maintain strict confidentiality in all job-related matters. The ability to interact with, support, and influence positively the behavior and activities of referring clinicians, industry partners, leadership, and staff/co-employees. Ability to coach and mentor teammates to ensure success Must be an exceptional listener, with the proven ability to problem solve issues discussed. Experience in public speaking/presentation skills. The ability to work both independently as well as in a group setting, high integrity, reasoned and thoughtful judgment, a sense of urgency and analytical and intuitive skills. Ability to use common office equipment: computers, fax/copy machine, etc. Proficient in Windows based technologies (ex. Word, Excel, Power Point). Minimum Education Bachelor’s Degree in Health Care Administration, Business Administration or Health Service or equivalent. Minimum Experience 7+ years of experience in the health care industry working with an: IPA/Medical Group, Health Plan, or hospital, preferably with direct physician interaction 5+ years of combined experience in Medicare Advantage, CMS and/or CMMI programs such as Accountable Care Organization Model or DCE models 5+ years of cross collaboration experience in complex project management and implementation. Work Conditions Availability to travel within region 80-90% of work time. Must have a valid driver’s license, safe driving record, and able to furnish own vehicle. Salary Range $85,000 - $100,000 based on skills and experience Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr