Director, Provider Engagement

Job not on LinkedIn

🔥 0 minutes ago

🐎 Kentucky, North Carolina, +2 more states – Remote

🐎 Kentucky – Remote 🌲 North Carolina – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote

💵 $138.9k - $191k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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CenterWell Senior Primary Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Develop and grow positive, long-term relationships with physicians, providers and healthcare systems • Support and improve financial and quality performance within contracted relationships with the health plan • Represent the health plan/provider relationship across financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements, provider performance, member experience, market growth and provider experience • Implement new or updated programs and large-scale projects • Implement strategic plans and drive goals and objectives • Manage market engagement teams to achieve revenue and quality/clinical performance targets • Drive a consistent MSO service experience throughout the engagement lifecycle • Lead affiliate market teams, develop team culture, uphold company values and foster team engagement • Guide development of individual practice action plans to optimize performance and operations • Cultivate relationships with practices and regional partners through status calls and in-person meetings • Set priorities, report performance results, monitor utilization and costs, and identify growth and savings opportunities • Lead onboarding and implementation of new practices and plan for success • Partner with MSO growth leadership to support local affiliate network expansion • Bridge the market team and MSO leadership by communicating concerns, needs and feedback • Provide regular performance reporting to MSO Operations leadership • Achieve high partner practice retention and satisfaction • Perform other duties and special projects as requested by leadership

🎯 Requirements

• Master's Degree • 8 or more years Provider Contracting • 5 or more years of management experience • Strong relationship building skills • Excellent oral and written communication skills • Comprehensive knowledge of all Microsoft Office applications • Ability to travel as needed • Passion for contributing to an organization focused on continuously improving consumer experiences • Prior work experience in the health solutions industry with demonstrated success directing and leading teams (preferred) • Proficiency in quality improvement processes and analyzing and interpreting financial trends (preferred) • Must reside in Kentucky, Tennessee, Georgia, North Carolina or Virginia • At minimum, home internet download speed of 25 Mbps and upload speed of 10 Mbps • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Home or Hybrid Home/Office work arrangement • Dedicated workspace requirement to protect member PHI / HIPAA information • Remote position with occasional travel to Humana offices for training or meetings