Description:
• 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
Benefits:
• Affordable medical plan options
• a 401(k) plan (including matching company contributions)
• an employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
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