Strategic Provider Partnerships Director

🕒 il y a 1 mois

🌽 Illinois, Kentucky, +1 états de plus – Distant

🌽 Illinois – Remote 🐎 Kentucky – Remote 🏰 Missouri – Remote

💵 $113 800 - $154 525 / an

⏰ Temps Plein

🔴 Expert

💰 Responsable de comptes

👻 Score fantôme 10%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.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.

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Lumeris

Site WebLinkedInTous les Emplois

1001 - 5000 employés

🏥 Santé

⚕️ Assurance santé

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lumeris est une entreprise spécialisée dans la fourniture de solutions de soins basées sur la valeur au sein de l'industrie de la santé. Avec plus d'une décennie de leadership dans ce domaine, Lumeris s'associe aux systèmes de santé pour améliorer les résultats des patients et assurer le succès financier grâce à des solutions technologiques. Leur plateforme soutient la gestion de la santé de la population, la transformation de la prestation des soins et la contractualisation avec les payeurs, offrant des solutions complètes pour la gestion des patients en situation aiguë, post-aiguë et à haut risque. Lumeris est reconnu pour créer des économies significatives et obtenir d'excellents résultats pour les patients, y compris une note de 5 étoiles CMS pour son plan de médicaments sur ordonnance Medicare Advantage.

Description

• Identify, research, and prioritize high-value provider organizations and health systems in target markets • Design and execute outreach strategies to build trust with C-suite and executive leaders at prospective partner organizations • Represent Essence Healthcare as a brand ambassador and external representative in new markets • Articulate Essence Healthcare’s value proposition and clinical models • Cultivate relationships within regional healthcare ecosystems to position Essence Healthcare as a preferred Medicare Advantage partner • Conduct market analyses covering competitive dynamics, provider readiness, strategic fit, and financial viability • Translate market data, provider insights, and product capabilities into strategic partnership plans • Collaborate with Network, Product, Finance, Actuarial, Legal, Marketing, Contracting, and Operations teams on value-based care, risk-sharing, and joint-venture opportunities • Develop and present business cases and strategic value propositions to external provider C-suite leadership teams • Facilitate strategic discussions between Essence Healthcare and prospective partner organizations • Own end-to-end relationship management from initial engagement through opportunity development, internal coordination, and transition • Maintain an organized strategic partnership pipeline and provide milestone reports to the SVP, Growth and executive stakeholders • Coordinate cross-functional teams around partnership priorities and selective market-entry decisions • Facilitate executive sponsorship, resolve key issues, and advance high-value partnerships • Gather market intelligence and competitor trends to refine partnership strategy and product positioning • Maintain strategic oversight and relationship continuity through diligence, contracting, and final execution

🎯 Exigences

• Bachelor’s degree in a related field required • Master’s in Public Health (MPH), Business Administration (MBA), or Healthcare Administration (MHA) preferred • 12+ years of progressive experience in healthcare business development, network development, strategic sales, or managed care contracting • 5+ years of experience in high-level strategic business development, complex enterprise sales, or negotiating value-based care partnerships • Robust, pre-existing professional network of provider and health system contacts within Essence Healthcare's key markets (IL, KY, AR, or MO) • Solid understanding of Medicare Advantage and health system economics, including managed care dynamics, value-based care structures, CMS risk adjustment, provider reimbursement methodologies, health system financial drivers, and strategic partnership economics • Proven track record engaging, presenting to, and influencing senior healthcare executives (CEOs, CFOs, CMOs) • Demonstrated ability to independently navigate and close complex joint-venture agreements, Letters of Intent (LOIs), and strategic partner alignments • Ability to synthesize market research, provider performance metrics, competitive intelligence, payer network composition, and other relevant data • Ability to travel up to 50% • Authorized to work in the United States; visa sponsorship unavailable

🏖️ Avantages

• Medical, Vision and Dental Plans • Tax-Advantage Savings Accounts (FSA & HSA) • Life Insurance and Disability Insurance • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days) • Employee Assistance Program • 401k with company match • Employee Resource Groups • Employee Discount Program • Learning and Development Opportunities • Performance-based incentive and/or equity may be available depending on the position • Approved COVID-19 vaccination coverage/requirement for applicable member-facing roles

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