Provider Network Manager

🕒 il y a 21 jours

🏄 California, Florida, +1 états de plus – Distant

🏄 California – Remote 🐊 Florida – Remote 🎰 Nevada – Remote

💵 $70 000 - $95 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Configurer une alerte email pour les nouveaux emplois

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

Astrana Health

Site WebLinkedInTous les Emplois

1001 - 5000 employés

💼 Conseil

📦 Logistique

🏥 Santé

Consulting • Logistics • Healthcare

Astrana Health est une entreprise de santé qui gère des cliniques focalisées sur les communautés et une plateforme technologique à destination des prestataires pour coordonner les soins à travers les services de médecine générale, d'urgence et de spécialités multiples. Elle soutient les prestataires et les communautés locales en simplifiant l'accès aux soins, en automatisant les autorisations préalables et en connectant les patients avec des cliniciens faisant partie du réseau agréé. Astrana allie services cliniques et technologie conçue par des médecins pour améliorer l'expérience des patients et les flux de travail des prestataires.

Description

• Build and maintain strong provider relationships supporting engagement, satisfaction, compliance, and performance in the ACO • Independently manage complex, cross-functional projects • Analyze practice performance and execute strategies to improve and optimize ACO performance across Florida and emerging markets • Identify practice-specific opportunities and translate data into actionable strategies • Drive ACO initiatives aligned with organizational and market objectives • Serve as primary contact for ACO providers throughout recruitment, onboarding, education, and process improvement • Conduct in-person and virtual meetings with physicians, provider groups, and staff • Identify improvements to provider engagement strategies and onboarding experiences • Monitor provider performance using quality, utilization, referral management, risk, engagement, and team-feedback data • Support HCC improvement activities with assigned practices in collaboration with the coding team • Implement provider change-management activities at practice and market levels • Organize provider education sessions and develop workflow-improvement tools and provider profiles • Liaise among Value-Based Care, Business Development, Operations, Quality, and other internal teams • Provide data-driven recommendations to leadership • Share best practices across markets and align performance initiatives with ACO and organizational objectives • Perform other duties as assigned

🎯 Exigences

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required • At least 5 years of experience in provider network relations, healthcare operations, managed care, or related field • Experience in provider relations and ACO experience preferred • Demonstrated experience analyzing data and making recommendations that impact business or operational outcomes • Valid driver’s license with ability to travel within the Florida service area and occasionally to the West coast • Demonstrated ability to exercise independent judgment and discretion in evaluating provider opportunities for ACO performance improvement • Strong analytical skills with the ability to interpret data and translate findings into actionable strategies • Understanding of value-based care and ability to bridge gaps in provider understanding • Knowledge of CMS, Medicare, and ACO regulatory requirements • Ability to influence stakeholders and build relationships with providers and internal partners • Strong communication and presentation skills • Ability to manage multiple priorities and adapt in a fast-paced environment • Proficiency in Microsoft Office and data/reporting tools

🏖️ Avantages

• Full-time remote position • Travel and field-work opportunities across Florida, with travel to California and Nevada as needed • Equal Employment Opportunity and Affirmative Action employer • Reasonable accommodations available for applicants with disabilities