Provider Relations Specialist
hace 5 días
New York
Provider Engagement and Performance Manager The Provider Engagement and Performance Manager plays 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 Provider Engagement, Performance & Relationship Management • 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., • 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., • 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, • 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. NSIPA is proud to be an equal opportunity employer and values diversity in our network and workplace.