Strategic Provider Partnerships Director

Job not on LinkedIn

🔥 1 minute ago

🌽 Illinois, Kentucky, +1 more states – Remote

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

💵 $113.8k - $154.5k / year

⏰ Full Time

🔴 Lead

💰 Account Manager

👻 Ghost score 0%

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Lumeris

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lumeris is a company focused on providing value-based care solutions within the healthcare industry. With over a decade of leadership in this field, Lumeris partners with health systems to improve patient outcomes and drive financial success through tech-enabled solutions. Their platform supports population health management, clinical delivery transformation, and payer contracting, offering comprehensive solutions for acute, post-acute, and high-risk patient management. Lumeris is recognized for creating significant cost savings and achieving excellent patient outcomes, including a 5-star CMS rating for its Medicare Advantage Prescription Drug Plan.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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