Director of Provider Engagement - Mid West Market

4 days ago

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

🐎 Kentucky – Remote

Although this job is listed in Kentucky, this company may be open to hiring remote in other states.

+1 more states

🌽 Illinois – Remote 🐎 Kentucky – Remote 🏈 Ohio – Remote

💵 $161k - $178k / year

⏰ Full Time

🔴 Lead

👔 Director

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Vatica Health

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Vatica Health is a healthcare company that offers advanced solutions for risk adjustment and quality of care. By combining expert clinical teams with cutting-edge technology, Vatica Health improves financial performance for health plans and providers by capturing accurate diagnosis codes and reducing audit risks. The company's model enhances provider utilization of preventive services and patient engagement, while also supporting quality programs at the time of patient visits. With seamless integration into provider workflows, Vatica Health focuses on increasing coding accuracy, compliance, and efficiency, ultimately benefiting health plans, providers, and patients. Their EMR-agnostic technology and on-site clinical consultants ensure improved care delivery and wellness outcomes, particularly through services like Annual Wellness Visits.

Annual Wellness Visit • Healthcare IT • Software • SaaS • risk adjustment

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

📋 Compliance

💰 $1.2M Venture Round on 2013-11

📋 Description

• The Director of Provider Engagement is accountable for developing and executing a best-in-class national provider engagement strategy. • This individual is responsible for establishing the operating plan to achieve the strategic goals of all provider engagement activities, including providing oversight of implementation and execution. • The development and growth of mutually successful, long-term relationships with individual physicians, practices, and health systems to support and improve increased participation in the Vatica program is a core function of this role. • Operates with significant independence and minimal supervision. • Formulate and execute a successful provider engagement strategy, which leads to the achievement of Vatica’s corporate goals as well as those of its health plan partners. • Provide leadership that combines broad, strategic vision with a critical eye for optimization of internal operations and the achievement of exceptional results. • Develop and lead execution of the full spectrum of provider engagement activities from initial onboarding and implementation to ongoing account management; including those designed to improve participation by, and retention of, individual physicians, practices, and health delivery systems. • Utilize and continuously enhance a national playbook for engaging Vatica Health’s provider network, including best practices for engagement and issue resolution. • Optimize performance through close collaboration with the Payer & Provider Sales, Clinical Operations, Member Engagement and Analytics teams. • Serve as the point of contact for escalated provider matters. • Forecast, monitor, and report key performance metrics (e.g. provider adoption, penetration rates). • Management of staff, including recruiting, performance assessments. • Enhance provider performance resources and tools, including dashboards and scorecards. • Drive strategic initiatives within the provider network and ensure that the alignment of departmental objectives is congruent with corporate strategy through active participation in corporate strategic planning, budgeting/forecasting and human resource management.

🎯 Requirements

• Bachelor’s degree in Healthcare (or related field) or equivalent work experience. Significant industry experience will be considered in lieu of a bachelor’s degree. MBA or MHA preferred. • Five, or more, years of experience working with primary care practices and health delivery systems: network development, engagement, and value-based care performance optimization • Deep knowledge of how to succeed in value-based care • Strong relationship and provider engagement/account management skills • Strong leadership skills including experience building and managing a high-performing team • Leadership skills that extend cross-functionally and contribute to driving an exceptional experience for participating providers/practices/health delivery systems • Results-oriented, capable of clearly translating strategic objectives into actionable processes that drive desired outcomes • The ability to influence both provider audiences through strong written and verbal communication skills, including formal presentations • Excellent organizational and communication skills • Familiarity with Commercial, Medicare and Medicaid risk adjustment • Experience working with risk-bearing or large health delivery systems is preferred • Travel Required [25%]

🏖️ Benefits

• Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar • Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded • 401k plans– we want to empower you to prepare for your future • Room for growth and advancement- we love our employees and want to develop within • Comprehensive Medical, Dental, and Vision insurance plans • Tax-free Dependent Care Account • Life insurance, short-term, and long-term disability • Excellent PTO policy (everyone deserves a vacation now and then) • Great work-life balance environment- We believe family comes first! • Strong supportive teams- There is always a helping hand when you need it