Market Manager - Central/West Region Iowa and Idaho

Mount Carmel Health System • Columbus, OH

278d • Remote

About The Position

The Market Manager - Provider Relations and Network Development is responsible for the strategic oversight of a geographic area or market of Provider Relations Managers. The Market Manager Provider Relations and Network Development will maintain a portfolio of provider relations work within the area or market (including contracting, recruitment, provider retention and strategy development) along with ensuring area or market level targets are aligned with organizational objectives. The Market Manager-Provider Relations and Network Development may also manage a team/function within the broader Network Management arena.

Requirements

• Bachelor's Degree in business administration, finance, health administration or similar field preferred.
• 5 or more years of relevant work experience in health plan provider relations including experience in leadership roles.
• Ability to supervise, lead and motivate colleagues in a team-building collaborative atmosphere.
• Demonstrated ability to influence and create solutions when complex issues arise.
• Demonstrated ability to identify areas of opportunity within Provider networks for improving overall efficiency and quality.
• Working knowledge of protocols and procedures of Centers for Medicare and Medicaid Services.
• Proven ability to work effectively with internal and external multi-disciplinary teams and key internal/external stakeholders.
• Valid driver's license and requires use of a personal vehicle with valid auto insurance.

Responsibilities

• Responsible for supporting Clinically Integrated Networks (CIN) and networks across broad regions with focus on system wide contracting opportunities.
• Develop and implement a network development plan for multiple regions.
• Work with senior leadership to design, develop and implement value based programs (APM) that meet and reward quality and meet the goals of triple AIM.
• Manage and support staff across an area/market to ensure departmental and company wide goals are met.
• Responsible for supporting the CIN governance structure to ensure actions for the board are executed upon a timely and reportable fashion.
• Leads expansion opportunities into new states to ensure CMS adequacy and product salability by leveraging Quest Analytics and Zelis (or related tool) to benchmark against competitors.
• Supports applicable CIN committee by providing network adequacy, capacity, and participation information and developing strategies related to filling gaps and growing the network.
• Manages staff relations including performance management, staff satisfaction, and conflict management.
• Performs and oversees scheduling, recruitment, payroll, and student engagements.
• Monitors departmental budgets, regulatory compliance, departmental contracts, and vendor relations.
• Provides leadership and direction regarding MediGold enrollment, membership and credentialing policies.

Benefits

• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
• Retirement savings account with employer match starting on day one.
• Generous paid time off programs.
• Employee recognition programs.
• Tuition/professional development reimbursement.
• Relocation assistance (geographic and position restrictions apply).
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
• Employee Referral Rewards program.
• DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday.
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree