Director of Provider Engagement / Hybrid

Job ID: 261162    Posted 5/15/2024


Location: New York, New York


Job Type: Direct Hire


Category: Health Care Leadership


Position: 261162




Salary Low: $150000 - Salary High: $161000


Duration: 2 Weeks



Job Description

For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.  They provide the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products.

Director of Provider Engagement / Hybrid ( 2 days in the Manhattan office and 3 days remote )
Position Overview
Reporting to the Vice President of Provider Network Operations, the Director of Provider Engagement will lead the Provider Engagement team and have overall accountability to develop and maximize improved alignment, driving high performance and provide world-class engagement experience with identified key providers. By leading market level projects and strategies for provider engagement, this position will drive optimal performance on quality, risk adjustment, utilization management, financial performance, and membership growth. This team will also serve as the one-stop “Quarterback” for the highest profile groups, including coordinating Quarterly Business Reviews (QBRs) and various operational meetings to drive performance. Success in this role will be measured by aligned goals that include but are not limited to membership growth, quality, risk adjustment, utilization management, and overall financial performance.
Job Description

  • Develop and oversee all Provider Engagement functions including establishing key provider partnerships aligned with organizations business goals and setting up QBR meetings.
  • Establish Provider Engagement strategy and action plan, formalizing QBR agenda, content, analytics and aligned goals.
  • Review data and analytics of key provider group performance to determine areas of focus and develop improvement opportunities.
  • Collaborate effectively with internal functions such as Quality Management, Risk Adjustment, Clinical Services, Sales and others to monitor trends and develop strategic plans to improve performance.
  • Demonstrate understanding of providers’ business goals and strategies to facilitate the analysis and align on partnership goals.
  • Establish effective Quarterly Business Reviews (QBR) with a formal agenda that includes but is not limited to financial, quality, utilization, and membership reporting.
  • Develop and maintain Executive level monthly reporting on all Provider Engagement activity, performance, and progress to goals.
  • Develop monthly executive report of key provider performance and activity, including but not limited to progress on goals and initiatives.
  • Fosters a culture of accountability that emphasizes people and performance management, coaching and development and employee engagement.

Minimum Qualifications

  • Master of Public Administration (MPA) or Master of Public Health (MPH) degree required; and 5-7 years of relevant healthcare industry experience in a provider network management and value-based environment; or a satisfactory equivalent combination of education, training, and minimum 10 years of relevant healthcare industry experience in a provider network management and value-based environment.
  • Solid background in healthcare, preferably experience working in a network management and value based role required.
  • Must have excellent healthcare and financial data analysis skills.
  • Knowledge of IPAs, large provider groups, hospital systems, and diverse communities required to target providers that serve different demographics.
  • Ability to decipher contractual language and clearly deliver messages to clients and customers with written and verbal communication.
  • Experience facilitating and/or contracting arrangements.

Salary Range is $150,000.00 to $161,000.00 with excellent benefits (pension plan)

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Why Us?

At RCM Health Care Services, we redefine healthcare staffing, creating an environment where your career thrives and flourishes. Our commitment to your success is woven into the fabric of our culture, offering diverse opportunities for both seasoned professionals seeking challenges and newcomers ready to make their mark. As a part of the RCM family, you'll experience more than just a job – you'll find a platform for continuous growth and fulfillment.

We have cultivated an ecosystem where healthcare professionals not only find rewarding career opportunities but also a community that values their skills and dedication. Your success is our priority, and our collaborative environment ensures you're never alone on your professional journey. Competitive salaries and comprehensive benefits reflect our dedication to your well-being, allowing you to focus on what matters most – delivering exceptional care. Join RCM Health Care Services, a trusted partner with a proven track record since 1975 and embark on a journey where your path to a fulfilling healthcare career truly begins.

About Us

With a legacy spanning over 45 years, RCM Health Care Services is a leader in connecting healthcare professionals with rewarding career opportunities. Our foundation is built on cultivating relationships with school districts, setting the stage for our expansion into placing providers across diverse facility types. As we evolved, our expertise diversified across various divisions including School Services, Behavioral Health/ABA, Travel, Nursing, Therapy, HIM, Permanent Placement, Foreign Recruitment, Locums Tenens, and much more.
Our mission is clear: to elevate healthcare standards by empowering talented healthcare professionals and forming strategic partnerships with top-tier healthcare institutions and schools across the country. We proudly hold the Joint Commission Gold Seal of Approval, showcasing our commitment to the highest standards in healthcare.
Our commitment goes beyond filling positions; we actively build careers, foster growth, and make a profound difference in the lives of both our candidates and the patients they serve.