Director of Provider Engagement enhancing relationships and performance metrics with healthcare providers and health plans. Leading strategic partnerships to improve financial and quality outcomes.
Responsibilities
Lead strategic relationships between the health plan and providers, focusing on financial performance, incentive programs, quality improvement, clinical management, and population health programs.
Oversee and guide enhancements in data sharing, connectivity, documentation, coding accuracy, HEDIS and STARs performance, and operational processes to improve provider outcomes and member experience.
Implement new or updated programs and large-scale projects, ensuring understanding of technical and operational procedures for execution.
Develop strategic plans to support market growth, provider satisfaction.
Provide informed input into functional strategy, contributing to organizational goals and performance improvement.
Collaborate with all partners to foster provider engagement and deliver measurable improvements across all main performance areas.
Requirements
Master's degree from an accredited institution
Minimum of 8 years of experience in provider contracting or a related field
At least 5 years of proven management experience, demonstrating leadership and team development skills
5 years of direct experience working with Louisiana Medicaid programs, including familiarity with relevant policies and regulations
Demonstrated relationship-building skills, with a proven ability to establish and strengthen partnerships with providers and stakeholders through effective verbal and written communication of complex information
Demonstrated ability to proficiently utilize Microsoft Office applications—including Word, Excel, PowerPoint, Teams, and Outlook—for preparing reports, conducting analyses, and delivering effective presentations
Willingness to travel up to 25% of the time to meet our needs
Residency within the state of Louisiana is mandatory.
Benefits
medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
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