Manager Provider Relations & Development

Trinity Health•Fresno, CA

About The Position

This position is responsible for driving Physician engagement, recruitment, and contracting of all Providers. The Manager works with the Independent Physician Association (IPA), Saint Agnes Medical Foundation (SAMF), and other community-based physician networks. This position will collaborate with IPA while they onboard and develop providers (primary care, specialty care, and ancillary) in their participation and growth as strategic participants in the network. The Manager Provider Relations & Development will maintain mutually-developed "Health Plan to Provider" approaches and strategies as required to achieve provider and membership satisfaction, driving revenue growth targets. Under the direction of the Director of Operations, this position will set goals for contracting target increases, specific service level improvements, and manage the quantitative and qualitative measurement of Provider engagement and commitment to the IPA and Central Valley Health Plan (CVHP).

Requirements

  • Bachelor's degree or an equivalent combination of education and experience.
  • Four (4) years of experience managing care contracting and provider development.
  • Extensive understanding of physician practice operations and associated performance metrics.
  • Experience working with physicians and physician groups.
  • Ability to successfully negotiate, build consensus, and bring complicated deals to closure.
  • Ability to interpret and convert contract language and identify areas impacting provider operation and implementation.
  • Strong computer skills with Microsoft Suite.
  • Excellent communication and interpersonal skills.
  • Strong quantitative/analytical skills.

Responsibilities

  • Driving Physician engagement, recruitment, and contracting of all Providers.
  • Working with the Independent Physician Association (IPA), Saint Agnes Medical Foundation (SAMF), and other community-based physician networks.
  • Collaborating with IPA to onboard and develop providers (primary care, specialty care, and ancillary) in their participation and growth as strategic participants in the network.
  • Maintaining mutually-developed "Health Plan to Provider" approaches and strategies to achieve provider and membership satisfaction and drive revenue growth targets.
  • Setting goals for contracting target increases and specific service level improvements.
  • Managing the quantitative and qualitative measurement of Provider engagement and commitment to the IPA and Central Valley Health Plan (CVHP).
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