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Provider Relations Manager

4 months ago

Oklahoma City, Oklahoma, United States Evolent Health Full time

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You'll Be Doing:

Put your passion where it meets purpose Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Provider Solutions/Relations Manager to join our Provider Relations Team.

Collaboration Opportunities:

This person will act as the primary lead/quarterback responsible for provider onboarding across the division along with identifying strategies to enhance performance improvement opportunities.

What You Will Be Doing:

Provider Onboarding, Engagement and Relationship Management

  • Perform all new market implementation activities related to provider onboarding, including obtaining missing provider contact information, facilitating provisioning/access coordinating and facilitating introductory meetings, and conducting provider/practice training,
  • Conduct provider in-servicing to ensure a clear interpretation policies and procedures related to various administrative/ operational functions
  • Triage provider issues & concerns and facilitate the timely and satisfactory resolution on behalf of providers

Market Planning and Initiative Deployment

  • Collaborate with Partner Ops/Account Mgmt. to develop market- and provider-specific engagement strategies and performance improvement plans
  • Deploy Evolent/NIA's clinical, financial, and operational improvement initiatives with providers in designated markets (both UM and VBI programs/ interventions and APMs); provide insights into the effectiveness of deployed initiatives as well as opportunities for improvement
  • Where appropriate, implement targeted provider agreements to improve performance, including fee-for-service schedules, pay-for-performance, value-based alternative payment models and single case agreements

Performance Management

  • Manage a portfolio of tools, programs and interventions that ensure best practice standards in operational delivery and performance are put in place
  • Proactively identify provider/practice needs and resolve issues as they come up; determine the best course of action when facing ambiguity
  • Tightly manage provider performance at assigned practices relative to UM, VBI and APM program adherence, quality, and cost effectiveness, and address provider underperformance
  • Manage/help drive referrals to high-performance specialty providers through provider education where applicable
  • Ensure high provider satisfaction and retention for practices in assigned markets

Provider Monitoring and Reporting

  • Conduct ongoing practice monitoring (e.g., portal utilization, L1 adherence, etc.) against key performance goals
  • Pull and compile provider performance data/reports/dashboards/decks for use during provider meetings/JOCs
  • Effectively communicate account performance to the practice and internal stakeholders
  • Identify practice outliers, proactively identify deteriorating performance, and conduct root cause analysis to identify/prioritize practice interventions to reverse trends

Qualifications - Required and Preferred:

  • Bachelor's degree or equivalent work experience (Required)
  • Minimum of 4 years of experience working in in provider operations, practice/network management, provider contracting, UM operations, clinical improvement, or healthcare client management (Preferred)
  • Be comfortable connecting with diverse constituents, actively listening, and identifying key areas of sensitivity (Required)
  • The ability to focus on achieving and maintaining provider trust (Required)
  • Able to get to the bottom of issues and the willingness to roll up sleeves and work toward solutions in partnership with our stakeholders (Required)
  • Expertise to determine when to escalate and how to prioritize competing priorities (Required)
  • Capacity to influence change to improve provider experience (Required)
  • Strong analytical skills (Required)
  • Extremely organized and detail oriented with exceptional follow through skills (Required)
  • Excellent communication and presentation skills (verbal and written) (Required)
  • Ability to multi-task in a fast-paced environment and adapt quickly to change (Required)
  • Strong knowledge of Microsoft programs (i.e., Word, Excel, SharePoint) (Required)
  • Ability to travel as needed (up to 25%) (Required)

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact for further assistance.

The expected base salary/wage range for this position is $75,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

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