Director of Provider Relations
About The Position
LTC ACO partners with primary care groups across the country to improve outcomes, enhance care coordination, and drive success in the Medicare Shared Savings Program. We help long-term care providers deliver high quality, patient-centered care while achieving measurable improvements in clinical, financial, and operational performance. Be part of a mission-driven team advancing value-based care in long-term and assisted living. Work alongside clinical and operational leaders to improve care delivery and outcomes. Make a tangible impact on provider success and patient care. Competitive salary and benefits package.
Requirements
- Bachelor's Degree in Business, Finance, Operations, Health Administration or related field is required.
- Must have knowledge of the physician practice operations and experience in drafting, negotiating and closing complex contracts.
Nice To Haves
- At least five (5) years of experience in Managed Care, Skilled Nursing or Practice Management is preferred.
Responsibilities
- Ensure accessible high quality physician services in markets served by Genesis.
- Monitor the on-going activities of Long-Term Care (LTC) Accountable Care Organization (ACO) providers to optimize practice performance.
- Identify, develop, implement, and execute strategies for recruiting targeted physicians.
- Establish and maintain relationships with providers to include employed physicians, fee for service (FFS) physicians, and medical staff of the center.
- Coordinate physician interviews with key center staff, such as Medical Director, Administrator, Director of Nursing, Vice President, or Regional Director of Medical Affairs.
- Negotiate arrangements with the nursing center and prepares the appropriate agreements or contract for the provider.
- Communicate LTC ACO policies, services, census goals and systems throughout all practice locations, with clinical services and other ancillary services within the centers.
- Develop processes that will continue to define the LTC ACO Medical Model in nursing centers and create opportunities for increased GPS nursing center patient penetration along with the VP of Medical Affairs and Area Clinical Practice Managers.
- Collaborate with Genesis clinical admissions directors, regional vice presidents and clinical services to ensure maximum effectiveness of all LTC ACO providers to meet regional clinical and operational goals.
Benefits
- Variable compensation plans
- Tuition, Travel, and Wireless Service Discounts
- Employee Assistance Program to support mental health
- Employee Foundation to financially assist through unforeseen hardships
- Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
- Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
- On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
- Pet Insurance
- Term and Whole Life Insurance
- Short-term Disability
- Hospital Indemnity
- Personal Accident
- Critical Illness
- Cancer Coverage
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What This Job Offers
Job Type
Full-time
Career Level
Director
