Manager, Provider Relations

Kaiser Permanente • Bakersfield, CA

105d

About The Position

In addition to the responsibilities listed below, this position is also responsible for guiding the planning, development, and implementation of provider satisfaction strategies to improve network relationships and enhance provider engagement; coordinating teams efforts for the development of provider relations programs to facilitate effective provider communications and problem resolution; and training others to create and distribute media materials (e.g., articles and newsletters) and publications to providers; ensuring providers adhere to regulatory and contractual requirements; handling compliance issues or escalating to appropriate parties; guiding team to support organizational responses to regulatory audits; and coaching others on delivering provider education and/or onboarding.

Requirements

• Minimum three (3) years of experience in a leadership role with or without direct reports.
• Bachelors degree from an accredited college or university AND minimum five (5) years of experience in health care delivery or operations in a managed care environment, customer relationship management, or a directly related field.
• OR Minimum eight (8) years of experience in health care delivery or operations in a managed care environment, customer relationship management, or a directly related field.

Nice To Haves

• Knowledge, Skills, and Abilities (KSAs): Internal or External Publication
• Provider Data Systems/Processes
• Business Acumen
• Business Process Improvement
• Written Communication
• Compliance Management
• Applied Data Analysis
• Trend Analysis
• Knowledge Management
• Business Relationship Management
• Consulting
• Interpersonal Skills
• Key Performance Indicators
• Project Management
• Time Management
• Quality Assurance Process
• Computer Literacy
• Presentation Skills
• Health Care Reimbursement
• Training
• Business Planning

Responsibilities

• Provides developmental opportunities for others; builds collaborative, cross-functional relationships.
• Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement.
• Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations.
• Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends.
• Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams.
• Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
• Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed.
• Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress.
• Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources.
• Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
• Supports continuous improvement efforts by coordinating efforts to use provider, claims, and contracting data when identifying and/or consulting on continuous improvement opportunities across the contract ecosystem.
• Ensures contract commitments are met by training the team to effectively analyze and summarize complex data of the day-to-day operation and management of services to consult on provider compliance.
• Supports contract strategy development by facilitating the development, proposal, and implementation of strategies that improve the quality of and access to patient care while managing outside service costs.
• Grows the Provider Network by training the team to identify or review recommended/potential partners/alliances for assigned service area to fill service gaps or decrease costs in current service offerings.
• Contributes to provider satisfaction by leading the team to develop knowledge of provider/contract operations to consult on issues that arise from contract configuration/interpretation and/or related to claims/disputes.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree