Director of Provider Relations and Value-based - Phoenix, United States - tango

tango

Verified Company

Phoenix, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

We're looking for a dynamic, self-motivated leader to join us as our Director of Provider Relations and Value-Based Performance. In this crucial role, you'll oversee markets where we support value-based home health management. Your main responsibilities will include forging and nurturing partnerships with providers to drive performance and achieve better outcomes.

Reporting directly to the Vice President of Network Management, you'll have the autonomy to develop and implement innovative strategies that engage providers and boost market performance.

Responsibilities:

Recruit, mentor, and support a team of Provider Relations Representatives, fostering their growth and development to become market experts.
Establish and lead Joint Operating Committee (JOC) meetings with strategic providers, driving collaboration and innovation opportunities that improve outcomes and enhance patient and provider satisfaction.
Develop and implement a datadriven, highperforming culture within the team, focused on continuous improvement and achieving market objectives.
Create actionable goals for the team, centered on improving operations, market performance, innovation, and team engagement.
Report out network performance metrics to include all relevant market engagement and outcome metrics, and action plans to address opportunities for improvement and further network optimization.
Collaborate with leadership to support budgeting initiatives aimed at scaling the Provider Relations department effectively. Provide insights and recommendations to optimize resource allocation and achieve departmental goals.
Serve as a primary point of contact for addressing provider issues, complaints, and grievances. Work closely with internal teams and providers to resolve issues promptly and ensure high levels of satisfaction.
Support the onboarding process for new agencies, which includes ongoing training and education to ensure agencies understand and adhere to company policies, procedures, credentialing, and regulatory requirements.
Work collaboratively with crossfunctional teams to develop, implement, and monitor policies and procedures related to provider relations and performance management.
Ensure team compliance with company policies and procedures, Medicare guidelines, and State and Federal laws and regulations.

Requirements:

Bachelor's degree in Business Administration, Healthcare Management, or related field (Master's degree preferred).
Minimum 10 years of healthcare or managed care experience with a focus on customer service and provider relations.
Minimum 8 years of management experience, including hiring, onboarding, training, and performance management.
Knowledge of ancillary valuebased reimbursement methodologies and provider credentialing process.
Deep understanding of home health's role in postacute care.
Excellent communication and interpersonal skills for fostering effective partnerships internally and externally.
Strong leadership skills to motivate teams and achieve strategic goals.
Experience in strategic planning, organizational development, and driving results through innovation and collaboration.
Proficiency in data analysis and utilizing metrics for performance improvement.
Proven ability to build trust with partners and stakeholders and adhere to Medicare guidelines and healthcare regulations.
Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
Excellent written and verbal communication and presentation skills.
Willingness to travel quarterly, at a minimum.
Other duties as assigned.

Why Join Us:

Opportunity to make a significant impact on the transformation of home health management and patient outcomes.
Autonomy to innovate and implement strategies that drive market performance and provider engagement.
Collaborative and supportive work environment that values continuous learning and development.
Competitive salary and benefits package.

- tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship._