Hybrid Senior Regional Provider Engagement Manager

Posted 2 hours ago

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About the role

  • Senior Regional Provider Engagement Manager responsible for provider performance improvement strategies. Leading engagement efforts aligned with enterprise goals for quality, coding, cost, and utilization.

Responsibilities

  • Drive provider performance improvement strategies across a specific region
  • Serve as a strategic leader aligning engagement efforts with enterprise goals for quality, coding, cost, and utilization
  • Provide hands-on Provider Engagement Operating Model (PEOM) support and guidance
  • Engage in Monthly and Quarterly PE Regional Leadership check-ins
  • Lead new Provider Engagement implementations within assigned regions
  • Collaborate with health plan leaders to support system-wide implementations

Requirements

  • Bachelor's Degree in health care administration, business, or related field or equivalent experience required
  • Master's Degree in health care administration, business, or related field preferred
  • 6+ years in provider engagement, network management, or healthcare strategy required
  • In-depth knowledge of provider engagement, network management, and performance improvement methodologies required
  • Demonstrated track record of successfully leading cross-functional provider engagement teams and driving results in a dynamic environment required
  • Proven ability to influence senior leaders and manage complex initiatives required
  • Strong analytical skills with proficiency in interpreting performance metrics (HEDIS, STARs, risk adjustment, cost/utilization) required

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

Job title

Senior Regional Provider Engagement Manager

Job type

Experience level

Senior

Salary

$87,700 - $157,800 per year

Degree requirement

Bachelor's Degree

Location requirements

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