Hybrid Director, Provider Engagement

Posted 3 hours ago

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About the role

  • 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)
  • short-term and long-term disability
  • life insurance and many other opportunities

Job title

Director, Provider Engagement

Job type

Experience level

Lead

Salary

$138,900 - $191,000 per year

Degree requirement

Postgraduate Degree

Location requirements

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