Director of Provider Engagement

1 week ago

New York, United States MetroPlusHealth Full time

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 come to work being proud of what you do every day.

Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.
About NYC Health + Hospitals

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 subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth  has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

Reporting to the Vice President of Provider Network Operations, the Director of Provider Engagement will lead the Provider Engagement team and have overall accountability to develop and maximize improved alignment, driving high performance and provide world-class engagement experience with identified key providers. By leading market level projects and strategies for provider engagement, this position will drive optimal performance on quality, risk adjustment, utilization management, financial performance, and membership growth. This team will also serve as the one-stop “Quarterback” for the highest profile groups, including coordinating Quarterly Business Reviews (QBRs) and various operational meetings to drive performance. Success in this role will be measured by aligned goals that include but are not limited to membership growth, quality, risk adjustment, utilization management, and overall financial performance.

Job Description
  • Develop and oversee all Provider Engagement functions including establishing key provider partnerships aligned with MetroPlusHealth business goals and setting up QBR meetings.
  • Establish Provider Engagement strategy and action plan, formalizing QBR agenda, content, analytics and aligned goals.
  • Review data and analytics of key provider group performance to determine areas of focus and develop improvement opportunities.
  • Collaborate effectively with internal functions such as Quality Management, Risk Adjustment, Clinical Services, Sales and others to monitor trends and develop strategic plans to improve performance.
  • Demonstrate understanding of providers’ business goals and strategies to facilitate the analysis and align on partnership goals.
  • Establish effective Quarterly Business Reviews (QBR) with a formal agenda that includes but is not limited to financial, quality, utilization, and membership reporting.
  • Develop and maintain Executive level monthly reporting on all Provider Engagement activity, performance, and progress to goals.
  • Develop monthly executive report of key provider performance and activity, including but not limited to progress on goals and initiatives.
  • Fosters a culture of accountability that emphasizes people and performance management, coaching and development and employee engagement.
Minimum Qualifications
  • Master of Public Administration (MPA) or Master of Public Health (MPH) degree required; and
  • 5-7 years of relevant healthcare industry experience in a provider network management and value-based environment; or
  • A satisfactory equivalent combination of education, training, and minimum 10 years of relevant healthcare industry experience in a provider network management and value-based environment.
  • Solid background in healthcare, preferably experience working in a network management and valuebased role required.
  • Must have excellent healthcare and financial data analysis skills.
  • Knowledge of IPAs, large provider groups, hospital systems, and diverse communities required to target providers that serve different demographics.
  • Ability to decipher contractual language and clearly deliver messages to clients and customers with written and verbal communication.
  • Experience facilitating and/or contracting arrangements.

Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication
  • Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and Clevel.
  • Demonstrated self-starter, strategic thinker, ability to manage complexity and ambiguity
  • Adapt quickly to change in an ever-changing environment.
  • Ability to develop solid long-term positive working relationships.
  • Ability to drive effective change
  • Strong business acumen, analytical, critical thinking, and persuasion skills
  • Proven track of building and cross-functional relationships
  • Demonstrated ability to lead and develop strong, effective teams.

#LI-Hybrid

  • Director of Provider Engagement

    1 month 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...

  • Director of Provider Engagement

    1 month 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...

  • Director of Provider Engagement

    4 weeks 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...

  • Director of Provider Engagement

    4 weeks 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...

  • Director of Provider Engagement

    2 months ago

    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...

  • Director of Provider Engagement

    2 months ago

    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...

  • Director of Provider Engagement

    4 weeks ago

    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...

  • Director of Provider Engagement

    3 weeks ago

    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...

  • Director of Provider Engagement

    1 week ago

    New York, United States MetroPlusHealth Full time

    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 come to work being proud of what you do every day.About NYC Health +...

  • Director of Provider Engagement

    2 months ago

    New York, United States MetroPlusHealth Full time

    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 come to work being proud of what you do every day.About NYC Health +...

  • Director of Provider Engagement

    2 months ago

    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 + HospitalsMetroPlusHealth provides the highest...

  • Director of Provider Engagement

    4 weeks ago

    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 + HospitalsMetroPlusHealth provides the highest...

  • Director of Provider Engagement

    2 months ago

    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 + HospitalsMetroPlusHealth provides the highest...

  • Engagement Director

    4 weeks 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....

  • Director of Provider Engagement

    4 weeks 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...

  • Director of Provider Engagement

    2 weeks 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...

  • Assistant Director, Engagement

    2 weeks ago

    New York, United States Columbia University Full time

    Position Summary Reporting to the Assistant Dean and the Associate Director of Engagement, the Assistant Director of Engagement assists in coordinating MBA processes to meet targeted enrollment goals. The Assistant Director collaborates with the Associate Director to increase the diversity of the MBA applicant pool. This position focuses on overseeing the...

  • Director of Corporate Engagement

    5 days ago

    New York, United States Genesys Works Full time

    **Position: Director of Corporate Engagement (CED)** **FLSA Status: Exempt** **Location: New York **City** **Salary Range: $105,000 - $125,000** Genesys Works is a national leader in providing pathways to career success for high school students in underserved communities through skills training, meaningful work experiences, and impactful...

  • Director, Community Engagement

    4 weeks ago

    New York, United States Columbia University Full time

    Job Type: Officer of Administration - Regular/Temporary: Regular - Hours Per Week: 35 - Salary Range: $105,000 - $115,000 - The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring...

  • Director, Community Engagement

    3 days ago

    New York, United States Columbia University Full time

    Job Type: Officer of Administration - Regular/Temporary: Regular - Hours Per Week: 35 - Salary Range: $105,000 - $115,000 - The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring...