Salary
💰 $67,900 - $199,144 per year
About the role
- Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships
- Develops and implements internal and external strategies to effectively assess and advance the performance of healthcare providers within the company's network
- Develops and maintains provider scorecards and performance reports to track and communicate performance metrics to internal stakeholders, executives, and network providers
- Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction scores, cost efficiency measures, and adherence to clinical guidelines
- Communicates with providers to develop and implement initiatives aimed at enhancing quality of care, patient outcomes, and operational efficiency
- Contributes to business objectives by collaborating with the network development team to identify providers that align with the company's strategic goals and objectives
- Manages operational aspects of the team, and implements workforce and succession plans to successfully achieve business goals
- Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience
Requirements
- A minimum of 5 years related experience with provider engagement, relations, or account management
- Working knowledge of Medicare contracts
- An understanding of value based contracts, how they work, what is the value
- Strong presentation skills, the ability to communicate effectively
- Mastery of problem solving and decision making skills
- Strong MS Office skills
- Preferred: The ability to use data to tell a story
- Preferred: Mastery of growth mindset (agility and developing yourself and others) skills
- Education: Bachelor's degree preferred or a combination of professional work experience and education