Provider Engagement and Performance Manager
hace 8 días
New York
The Provider Engagement and Performance Manager play a critical role in advancing Network Solutions IPA’s (NSIPA) mission by developing, managing, and supporting a high-performing provider network. This role is responsible for fostering strong provider relationships, driving performance in value-based care contracts, and ensuring provider satisfaction through effective engagement, education, and administrative support. The ideal candidate is proactive, mission-driven, customer-focused, and thrives in a fast-paced healthcare environment. They possess strong communication and analytical skills, a collaborative spirit, and a deep understanding of provider practice operations and value-based care delivery models. Key Responsibilities · Serve as the primary point of contact for a panel of providers within a designated territory. · Represent and promote NSIPA as the preferred IPA through strong provider relationships and superior service. · Conduct regular in-person provider visits (3–4 days/week) and manage follow-up activities on administrative days (1–2 days/week). · Lead new provider onboarding and orientations, ensuring a smooth introduction to NSIPA's programs, policies, and value-based contracts. · Communicate performance expectations, program updates, and support resources in a clear and timely manner. · Collaborate with providers to implement quality improvement initiatives and care gap closure strategies. · Provide practices with performance reports and actionable insights, including quality metrics, care gap data, and population health dashboards (e.g., Garage platform). · Analyze provider performance from a clinical, operational, and financial perspective to identify opportunities for improvement. · Support access to EMRs, assist with medical record requests, and gather provider cooperation for performance initiatives. · Identify opportunities to expand or strengthen NSIPA’s provider network in alignment with strategic goals. · Assist with provider recruitment and engagement strategies in partnership with payers and internal stakeholders. · Develop an in-depth understanding of the unique needs and challenges of NSIPA’s provider network. · Support planning and execution of provider meetings, events, and educational seminars. · Work closely with internal teams across departments (e.g., Quality, Care Coordination, Contracting, IT) to ensure successful implementation of NSIPA initiatives. · Participate in Joint Operating Committee (JOC) meetings and collaborate with payers as needed. · Ensure timely resolution of provider issues, inquiries, or concerns, maintaining a high level of service and satisfaction. · Maintain accurate and up-to-date records of provider contacts, staffing, and key operational information. · Ensure the quality and completeness of documentation, including onboarding packets, orientation materials, and performance reports. · Assist with special projects and organizational initiatives, such as events, chart chases, EMR integration, or population health efforts. Skills & Competencies · Excellent interpersonal and communication skills, with the ability to build trust-based provider relationships. · Strong critical thinking and problem-solving abilities. · Self-motivated, organized, and able to manage competing priorities. · Proficiency in Microsoft Office Suite and other relevant software platforms. · A collaborative, entrepreneurial mindset aligned with NSIPA’s mission and provider-first philosophy. Core Attributes · Mission-driven and customer service-oriented · Strong sense of ownership and accountability · Analytical mindset with the ability to interpret data for actionable insights · Entrepreneurial spirit with a proactive approach to solving problems · High level of professionalism, integrity, and emotional intelligence Education & Experience · Bachelor’s degree in healthcare administration, public health, business, or a related field (master’s preferred). · 3+ years of experience in provider relations, network management, or a similar healthcare-facing role. · Knowledge of value-based care, managed care models, and healthcare provider operations. · Experience working with EMRs, performance reporting tools, and population health platforms is a plus.
Brynn L.Activo hace 33 minutos