Jobs
>
New York City

    Director of Provider Engagement - New York, United States - Tandym Group

    Tandym Group
    Tandym Group New York, United States

    2 weeks ago

    Tandym Group background
    Healthcare
    Description

    A health services organization in New York City is currently seeking an experienced professional to join their staff as their new Director of Provider Engagement. In this role, the Director of Provider Engagement will be responsible for to developing and maximizing improved alignment, driving high performance and providing world-class engagement experience with the highest profile providers for the organization.

    Responsibilities:

    The Director of Provider Engagement will be responsible for:

    • Lead the Provider Engagement team under the Vice President of Provider Network Operations
    • Develop and execute strategies to enhance alignment and performance with key providers
    • Drive market-level projects to optimize quality, risk adjustment, utilization management, financial performance, and membership growth
    • Build strategic partnerships aligned with business goals through Provider Engagement functions management
    • Create and formalize Provider Engagement strategy, including Quarterly Business Review (QBR) processes
    • Analyze provider group performance data to identify improvement opportunities and focus areas
    • Collaborate cross-functionally with Quality Management, Risk Adjustment, Clinical Services, and Sales to monitor and enhance performance trends
    • Align partnership goals with providers' business strategies, ensuring mutual understanding and shared objectives
    • Conduct Quarterly Business Reviews (QBR) covering financial, quality, utilization, and membership metrics
    • Generate executive-level monthly reports on Provider Engagement activities, performance, and goal progress
    • Maintain monthly executive reports highlighting key provider performance metrics and initiative progress

    Qualifications:

    • Associate's Degree required; Bachelor's degree or equivalent combination of education, training, and a minimum of 10 years of relevant healthcare industry experience in provider network management and value-based environments
    • 5-7 years of relevant healthcare industry experience in provider network management and value-based environments
    • Strong background in managed care, preferably with experience in network management and value-based roles
    • Excellent healthcare and financial data analysis skills required
    • Knowledge of IPAs, large provider groups, hospital systems, and diverse communities necessary for targeting providers serving various demographics
    • Ability to interpret contractual language and effectively communicate messages to clients and customers through written and verbal communication
    • Experience in facilitating and/or negotiating contractual arrangements

    Desired Skills:

    • Master of Public Administration (MPA) or Master of Public Health (MPH) degree
    • Supervisory or team management experience
  • MetroPlusHealth

    Director of Provider Engagement

    1 week ago

    MetroPlusHealth New York, United States

    Job Description · Job DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come ...

  • NYC Health Hospitals

    Director of Provider Engagement

    1 week ago

    NYC Health Hospitals New York, United States

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...

  • MetroPlusHealth

    Director of Provider Engagement

    1 week ago

    MetroPlusHealth New York, United States

    Empower. Unite. Care. · MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what y ...

  • Metroplus Health Plan Inc

    Director of Provider Engagement

    1 week ago

    Metroplus Health Plan Inc New York, United States

    Director of Provider Engagement · Job Ref: 105319 · Category: Professional · Department: Provider Network Operations · Location: 50 Water Street, 7th Floor, New York, NY 10004 · Job Type: Regular · Employment Type: Full-Time · Hire In Rate: $150,000.00 · Salary Range: $150, $161, ...

  • MetroPlusHealth

    Director of Provider Engagement

    4 weeks ago

    MetroPlusHealth New York, United States

    Job DescriptionJob DescriptionEmpower. Unite. Care. · MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can com ...

  • MetroPlus Health Plan

    Director of Provider Engagement

    3 weeks ago

    MetroPlus Health Plan Brooklyn, United States

    Director of Provider Engagement · Job Ref: 105319 · Category: Professional · Department: Provider Network Operations · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Hire In Rate: $150,000.00 · Salary Range ...

  • NYC Health Hospitals

    Senior Account Manager, Provider Engagement

    2 weeks ago

    NYC Health Hospitals New York, United States

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...

  • NYC Health Hospitals

    Senior Account Manager, Provider Engagement

    3 weeks ago

    NYC Health Hospitals New York, United States

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...

  • Spring Health

    Senior Engagement Manager, Provider Marketing

    1 week ago

    Spring Health New York, United States

    Job Description · Job DescriptionOur mission: to eliminate every barrier to mental health. · Spring Health is a comprehensive mental health solution for employers and health plans. Unlike any other solution, we use clinically validated technology called Precision Mental Healthca ...

  • MetroPlusHealth

    Senior Account Manager, Provider Engagement

    1 week ago

    MetroPlusHealth New York, United States Regular, Full time

    Position Overview · Reporting to the Director of Provider Engagement, the Sr, Account Manager is responsible for the developing key provider relationships and driving high performance of key providers. Serving as the one-stop "Quarterback" for high profile groups, including coord ...

  • CINQCARE

    Provider Engagement Account Manager- Key Accounts

    2 weeks ago

    CINQCARE New York, United States

    CINQCARE · PROVIDER ENGAGEMENT ACCOUNT MANAGER - KEY ACCOUNTS · Position Description · Overview · The Provider Engagement Account Manager- Key Accounts is a business development position designed to cultivate and grow relationships with select contracted providers. This posit ...

  • CINQCARE

    Provider Engagement Account Manager- Key Accounts

    3 weeks ago

    CINQCARE New York, United States

    CINQCAREPROVIDER ENGAGEMENT ACCOUNT MANAGER - KEY ACCOUNTSPosition DescriptionOverviewThe Provider Engagement Account Manager- Key Accounts is a business development position designed to cultivate and grow relationships with select contracted providers. This position serves as a ...

  • CINQCARE

    Provider Engagement Account Manager- Key Accounts

    1 week ago

    CINQCARE New York, United States

    CINQCARE · PROVIDER ENGAGEMENT ACCOUNT MANAGER – KEY ACCOUNTS · Position Description · Overview · The Provider Engagement Account Manager– Key Accounts is a business development position designed to cultivate and grow relationships with select contracted providers. This posit ...

  • CINQCARE

    Provider Engagement Account Manager- Key Accounts

    1 week ago

    CINQCARE New York, United States

    Job Description · Job DescriptionCINQCARE · PROVIDER ENGAGEMENT ACCOUNT MANAGER – KEY ACCOUNTS · Position Description · Overview · The Provider Engagement Account Manager– Key Accounts is a business development position designed to cultivate and grow relationships with select con ...

  • MetroPlus Health Plan

    Senior Account Manager, Provider Engagement

    2 weeks ago

    MetroPlus Health Plan Brooklyn, United States

    Senior Account Manager, Provider Engagement · Job Ref: 105307 · Category: Professional · Department: Provider Network Operations · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Hire In Rate: $90,000.00 · S ...

  • MetroPlus Health Plan

    Senior Account Manager, Provider Engagement

    3 weeks ago

    MetroPlus Health Plan Brooklyn, United States

    Senior Account Manager, Provider Engagement · Job Ref: 105314 · Category: Professional · Department: Provider Network Operations · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Hire In Rate: $91,000.00 · S ...

  • The Bridge, Inc.

    Engagement and Enrollment Specialist

    2 weeks ago

    The Bridge, Inc. New York, United States

    **Position Description Overview**: · Under the direction of the Supervisor and/or Director, and within the guidelines of all applicable laws, rules, regulations and Agency code of ethics and policies and procedures, the Engagement and Enrollment Specialist engages and enrolls eli ...

  • Planned Parenthood Federation of America

    Specialist, Arts

    2 weeks ago

    Planned Parenthood Federation of America New York, United States

    **Planned Parenthood Federation of America (PPFA) and Planned Parenthood Action Fund** seek a Specialist, Arts & Entertainment Engagement**.** This job reports to the National Director, Arts & Entertainment Engagement in the Brand and Culture team of PPFA. The Brand and Culture T ...

  • NAPNAP: Pediatric Nurse Practitioner Membership Association

    Marketing & Engagement Specialist

    1 week ago

    NAPNAP: Pediatric Nurse Practitioner Membership Association New York, United States

    **Position Summary**: The Marketing & Engagement Specialist is a collaborative and supportive member of the Membership, Marketing & Communications (MMC) division. Responsibilities of this role include working collaboratively with the MCC team to identify the need for new services ...

  • Pfizer

    Neuroscience Health

    2 weeks ago

    Pfizer New York, United States

    Why Patients Need You · Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are invo ...