Senior Director - Provider Relations
2 days ago
🇺🇸 United States – Remote
🏄 California – Remote
💵 $145.1k - $268.8k / year
⏰ Full Time
🟠 Senior
👔 Director
Description
• Creates and implements Network Transformation initiatives across a market • Develops Provider Relations Management team to effectively achieve market targets • Leads and develops team of Provider Relations Managers and/or Network Performance advisors • Conducts field rides with Provider Relations Representatives • Identifies team skill set deficiencies and implements proper professional development plans • Monitors Provider Performance action plans and tracks provider performance improvement • Drives improvement of provider performance by analyzing, interpreting and communicating financial, utilization and quality metrics • Establishes and leads collaborative effort with internal departments to support provider performance • Responsible for understanding HEDIS and STARS measures • Plans, conducts and directs provider contractual terms and provider account management • Assists in monitoring and developing High Performing Practices • Strategizes membership growth and retention for High Performing Practices
Requirements
• Required A Bachelor's Degree in a related field • Required 8+ years of experience in provider relations experience • Required 5+ years of management experience • Preferred Other Managed care experience
Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
Apply NowSimilar Jobs
2 days ago
Lead digital strategy for Protective’s web properties, enhancing user engagement and driving sales.
2 days ago
Wpromote
201 - 500
Join Wpromote as an Associate Direct I/O Director, leading innovative media strategies in digital and traditional channels.
2 days ago
Lead Senior Managers in overseeing Absence and Short-Term Disability claims at Sun Life. Ensure exceptional service and compliance in a remote working environment.
2 days ago
Oversee project management for clinical trials at Thermo Fisher Scientific in a remote role. Ensure strategic delivery and management within a Therapeutic Unit.
2 days ago
Join UMGC as Associate Director of Analytics, leading data solutions for Student Affairs. Engage with department leaders to align analytics with strategic needs.