We have other current jobs related to this field that you can find below


  • New York, United States Tandym Group Full time

    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...


  • New York, United States Tandym Group Full time

    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...


  • New York, United States Tandym Group Full time

    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 developing and maximizing improved alignment, driving high performance, and providing a world-class engagement experience...

  • Engagement Director

    3 months ago


    New York, United States Hire Solutions Full time

    Job DescriptionJob DescriptionTITLE: Engagement Director, Supply ChainAnywhere USAHiRe SolutionsTravel Requirement 80%You can live anywhere in the USA. Travel is 80% weekly. To qualify for this role you must have deep Supply Chain Management (SCM) experience as well as 10+ years of consulting, and client-facing, experience from a well-known consulting firm....

  • Engagement Director

    2 months ago


    New York, United States FlowX Full time

    Job DescriptionJob DescriptionFlowX is a leading provider of AI-powered application modernization solutions, dedicated to expediting the digital transformation journey for global financial institutions. Through its innovative solutions, clients realize swift ROI, substantial cost savings, and unlock new revenue opportunities. Recently, FlowX secured the...

  • Engagement Director

    3 weeks ago


    New York, United States FlowX Full time

    Job DescriptionJob DescriptionFlowX is a leading provider of AI-powered application modernization solutions, dedicated to expediting the digital transformation journey for global financial institutions. Through its innovative solutions, clients realize swift ROI, substantial cost savings, and unlock new revenue opportunities. Recently, FlowX secured the...


  • New York, United States Publicis CoLab Full time

    Job DescriptionJob DescriptionCompany DescriptionAbout CoLab CoLab is a fully integrated, cross-discipline team that provides best-in-class services in a fluid and modular way. With our clients at the center, we create brand movement at the speed of people’s lives by connecting real-time data with world-class creative, content, and media in service...


  • New Orleans, United States University of New Orleans Full time

    Director of Alumni Affairs and Engagement Department University AdvancementJob SummaryJob DescriptionPOSITION SUMMARY: Reporting to the Executive Director of University Advancement, the Director of Alumni Affairs and Engagement is responsible for the development, planning and evaluation of a comprehensive and diverse engagement program, which offers...


  • New Orleans, Louisiana, United States University of New Orleans Full time

    Director of Alumni Affairs and EngagementDepartmentUniversity AdvancementJob SummaryJob DescriptionPOSITION SUMMARY:Reporting to the Executive Director of University Advancement, the Director of Alumni Affairs and Engagement is responsible for the development, planning and evaluation of a comprehensive and diverse engagement program, which offers...


  • New York, United States City of New York Full time

    Job Description The Office of Technology and Innovation (OTI) leverages technology to drive opportunity, improve public safety, and help government run better across New York City. From delivering affordable broadband to protecting against cybersecurity threats and building digital government services, OTI is at the forefront of how the City delivers for New...


  • New York, United States NYC Health Hospitals Full time

    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, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...


  • New York, United States MetroPlusHealth Full time

    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 you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest...


  • New York, New York, United States Women In Need, Inc. Full time

    About the RoleWe are seeking a highly skilled and experienced professional to serve as our Manager, Volunteer Services Coordinator. This is an exciting opportunity to join a dynamic team dedicated to breaking the cycle of homelessness and providing transitional and supportive shelters for women-led families.Key ResponsibilitiesSupervise and manage a team of...


  • New York, New York, United States New York University Full time

    Job SummaryNew York University's Global Programs & University Life organization is committed to fostering a welcoming and inclusive campus community that embodies the values of diversity, equity, and accessibility. As a key member of the Division of Student Affairs, the Director of Parent and Family Engagement will serve as a strategic advocate for parents...


  • New York, New York, United States Boys Club of NY Full time

    Job OverviewPosition: Youth Engagement Program SupervisorLocation: New York CitySalary: $20.00 per hourSchedule: 20 hours per week | Fall Cycle 2024Employment Type: Part-Time, Non-ExemptAbout Our OrganizationEstablished in 1876, The Boys' Club of New York (BCNY) has been dedicated to supporting the growth and development of boys and young men through various...


  • New York, New York, United States City of New York Full time

    Position OverviewThe City of New York is committed to enhancing access to essential information and resources regarding HRA and DHS programs within the community. Our initiative focuses on delivering services directly to the community and collaborating with community-based organizations that support HRA and DHS clients and applicants. The Community Education...


  • New York, New York, United States co: collective Full time

    co:collective is a creative and strategic transformation partner for purpose-led organizations. We help our clients put purpose into practice — not just defining what they stand for, but also infusing it into everything they do, inside and outside their organization.. Not just because that's good for the world, but because it's good for business too. The...


  • New York, United States co: collective Full time

    co:collective is a creative and strategic transformation partner for purpose-led organizations. We help our clients put purpose into practice — not just defining what they stand for, but also infusing it into everything they do, inside and outside their organization.. Not just because that’s good for the world, but because it’s good for business too....


  • New York, New York, United States Columbia University Full time

    About the RoleColumbia University is seeking a highly skilled and experienced professional to serve as the Assistant Director of Career Development and Community Engagement in the Data Science Institute. This is a key role that will play a critical part in driving the Institute's mission to advance the state of the art in data science while ensuring the...


  • New York, United States TEPHRA Full time

    Description: Position Description: Platforms Engagement Director- Banking, Financial Services and Insurance The Candidate should be highly experienced in building and leading a strategic consulting portfolio of business. The candidate will possess 20+ years of deep knowledge of the industry, clients, their priorities and pain points. Experience developing...

Director of Provider Engagement

2 months ago


New York, United States Tandym Group Full time
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
#J-18808-Ljbffr