Provider Network Manager
About The Position
Bookmark Medical is building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. The company believes the best care happens when providers and care teams have the support, technology, and resources they need to focus on patients. Their mission is to improve lives through high-quality continuous care, creating a healthcare experience where patients are known, supported, and never have to start over. Employees join a team that values their expertise, encourages growth, and empowers them to make a meaningful impact. The Provider Network Manager, MA (‘PNM’) will primarily be responsible for affiliate primary care provider / practice performance in our Massachusetts affiliate network’s VBC contracts. Additionally, the PNM will oversee affiliate provider relations, which includes developing and maintaining retention strategies for Bookmark Medical in our Massachusetts market. This position will provide the leadership and expertise needed to develop and implement a tactical plan to support the strategic, operational, financial, and clinical objectives of Bookmark Medical in Massachusetts. This responsibility will be accomplished in partnership with the VP of Network Development and Strategy, Bookmark Medical Network Leadership, and other key internal stakeholders. This is a senior role with meaningful opportunity to impact a successful fast-growing primary care affiliate network that values innovation, creativity, and results.
Requirements
- Understanding of the outpatient health care delivery setting; primary care specific knowledge is a plus
- Understanding of value-based care payment / reimbursement models is preferred
- Experience working with physician practices and a demonstrated understanding of practice operations
- Strong communication skills; ability to interact with clinical care team and physicians/providers in appropriate manner
- Excellent organizational capabilities and strong attention to detail
- Leadership skills, ability to influence, form consensus and drive an agenda
- Ability to present information to small and, at times large audiences
- Knowledge of fraud and abuse regulations, health care reimbursement systems, third party payer guidelines, and general coding practices
Nice To Haves
- primary care specific knowledge is a plus
- Understanding of value-based care payment / reimbursement models is preferred
Responsibilities
- Regularly engage primary care providers / practices, share specific performance data points, and document obstacles / needs within our affiliate provider network
- Review and report out trended performance, making sure improvement is being made against KPI targets in Bookmark’s VBC contracts
- Collaborate with clinical, quality, and risk adjustment leaders to develop strategies and actions to improve provider group/ network performance, as needed
- Advise market leadership and VP of Network Development and Strategy of providers who are at risk of leaving the network and develop plans to retain high performing provider groups
- Continually assess the viability and strengths of the physician network, and identify areas of opportunity, or risk
- Build a culture of accountability and clinical excellence with affiliate providers through strategic coordination and retention of the necessary administrative team, provider team, and staff to achieve Bookmark’s affiliate network goals and objectives
- Maintain comprehensive knowledge on all affiliate providers within assigned region, including key information such as group membership, recent performance trends, and historical contextual elements
Benefits
- Medical, dental, and vision coverage
- Company funded HSA + exclusive healthcare discounts
- 401(k) with company match
- Company paid life insurance
- Flexible time off + Vacation Exchange Program
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What This Job Offers
Job Type
Full-time
Career Level
Senior
