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Senior Provider Partnership Manager
2 months ago
- Establishes strong relationships and engage with inpatient and outpatient providers, forming collaborative partnerships to drive measurable performance and quality improvements (HEDIS).
- Shares performance and quality metrics with providers on a quarterly or as needed basis, provide actionable insights and strategies for improvement. Meets with providers face to face, via zoom or Teams.
- Devises and implements strategies to drive provider performance and enhance quality in alignment with network, clinical and quality goals.
- Collaborates with Network Contracting team to establish Value Based Payment models with identified providers, oversee and deliver feedback to providers on established VBP metrics quarterly.
- Represents company at client meetings, community events, conferences, and advocacy groups, is the face for provider community.
- Acts as liaison between Clinical, Quality, and Network and the provider community, sharing provider feedback to internal groups, identify best practices and drive innovation.
- Provides education and training to Magellan contracted providers on Magellan systems, policies, requirements, online tools and resources.
- Participates in internal workgroups to provide direction in proactive development, enhancement of quality and performance metrics, provider tools, and resources.
- Provides summary and problem specific feedback, analysis, action recommendations to senior management and relevant functional units regarding provider problems, issues, and general concerns impacting working relationships with providers.
- Collaborates with internal Magellan teams (Clinical, Quality, Network) to implement and drive regional and corporate initiatives.
- Tracks provider meetings & performance and report to leadership as needed.
- Other tasks, workgroups, or reports as assigned
Other Job Requirements
Responsibilities
Bachelor's degree, management or clinical backgroundKnowledge of managed healthcare principles.
Ability to develop, articulate and communicate strategic plans
Ability to analyze and interpret data and metrics
Demonstrated ability to collaborate with colleagues within and outside department to achieve mutual performance goals.
Excellent communication and leadership skills.
General Job Information
Title
Senior Provider Partnership ManagerGrade
26Work Experience - Required
Healthcare, Managed HealthcareWork Experience - Preferred
Education - Required
Bachelor'sEducation - Preferred
Master'sLicense and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$70,715Salary Maximum:
$113,145This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.