Healthcare Network Manager

We are seeking a highly skilled and experienced Healthcare Network Manager to join our team at Steward Health Care. As a key member of our organization, you will be responsible for developing and maintaining robust retention strategies for our existing markets and facilitating contracting and associated paperwork and data gathering for new providers.

This is a senior role with tremendous opportunity to impact a successful fast-growing healthcare system that values innovation, creativity, and results. You will provide leadership and expertise needed to develop and implement a tactical plan to support the strategic, operational, financial, and clinical objectives of Steward Health Care Network.

Key Responsibilities:

• Develop and maintain robust retention strategies for Steward Health Care Network in existing markets
• Facilitate contracting and associated paperwork and data gathering for new providers
• Provide leadership and expertise to develop and implement a tactical plan to support the strategic, operational, financial, and clinical objectives of Steward Health Care Network
• Collaborate with Hospital Presidents, SMG Operations, and SHCN leads to leverage hospital volume tracker, risk claims data, and other pertinent data to identify service lines where the largest area of opportunity to improve care coordination
• Manage and update the CC and ND trackers based on most recent committee discussions with specific collaborative action plans, milestones, goals, and deadlines
• Engage providers, share specific data points, and document obstacles/needs in the care coordination tracker
• Present obstacles/needs to the local team and work to address collaboratively, then report out to the leadership team on status and if further support is needed
• Review and report out trended performance, ensuring improvement is being made
• Monitor the availability of in-network service gaps that need to be filled to keep patient care services in the Steward system and proactively manage physician and key hospital leadership relationships and bring critical issues needing attention to the SHCN and Chapter leadership team
• Monitor, evaluate, and routinely report on the performance of risk provider groups, hospitals, networks, and other providers against goals and targets
• Identify performance issues and opportunities and recommend strategies to address
• Establish best practices necessary to improve HEDIS, CAHPS, and risk adjustment accuracy
• Collaborate with clinical, quality, and risk adjustment leaders to develop strategies and actions to improve provider group/network performance as needed
• Advise market leadership and Regional Network Director of providers who are at risk of leaving the network and develop plans to retain high-performing provider groups
• Serve as the provider relations manager who shall maintain and retain the network composition within a Chapter
• Retention of recruited physicians is based on the ability of the PNM to manage expectations of the participating provider with expectations of the network, as well as being responsive to the concerns and issues of the candidate
• Facilitate Chapter, POD, and Board of Directors meetings within their respective Chapters
• Continually assess the viability and strengths of the physician network, and identify areas of opportunity or risk, and work with Network Development on the need to recruit and place appropriate providers into existing practices
• Advise Network Development and Payor Enrollment of providers added to existing in-network practices, facilitate the collection of provider data, and filling out Schedule A (PPA) and execution
• Assist in management of remediation efforts by the optimization team to ensure optimal use of the EHR systems
• Continue ongoing efforts to build a culture of accountability and clinical excellence through strategic coordination and retention of the necessary administrative team, physicians, clinicians, and staff to achieve SHCN's goals and objectives
• During the Onboarding hand-off from Network Development, the PNM must have the ability to convey information about the Steward Health Care Network and the Steward system to leave newly signed network providers (and staff) with a positive impression about the organization
• Ensure that new SHCN providers are effectively supported throughout the onboarding process and acts as a central point of contact when issues arise that require escalation
• With the guidance of the Regional Executive Director, Operations, assesses the performance improvement needs of provider practices across the Chapter and coordinates all SHCN resources on the Local Chapter Performance Team to assist Chapter providers with maximizing value delivered to all key stakeholders
• Has knowledge on all PCPs and Specialists within assigned Chapter, including key information such as group membership, affiliations, recent performance, and historically contextual elements
• Knowledge of fraud and abuse regulations, healthcare reimbursement systems, third-party payer guidelines, general coding practices
• Communicates regularly through various communication methodologies, including one-on-one or group meetings, with local providers and their staff consistent with the key messages disseminated from the SHCN Governance Structure at the direction of the SHCN Leadership Team
• Develops and provides education to provider and office staff regarding initiatives of the local chapter and SHCN, including health plan updates
• Performs other duties as requested

Requirements

• Bachelor's degree in a relevant field preferred
• In lieu of a Bachelor's degree, over eight years of experience will be considered
• At least five years of experience in a managed care and/or physician practice management environment
• Understanding of the healthcare delivery setting
• Experience working with physician practices; demonstrates an understanding of practice operations
• Strong communication skills; ability to interact with clinical care team and physicians in an appropriate manner
• Demonstrated quantitative and analytical skills
• Excellent organizational capabilities and good attention to detail
• Strong sense of diplomacy and ability to work under pressure
• Must have the interpersonal skills and charisma to bring diverse constituencies and teams together in pursuit of common goals
• Demonstrates the commitment, confidence, and sense of urgency necessary to achieve these goals
• Ability to work in a dual reporting (matrix) environment
• Leadership skills, ability to influence, form consensus, and drive an agenda
• Ability to present information to small and, at times, large audiences of various skill levels
• Must be able to maintain confidentiality of information
• Ability to function effectively within an ever-changing environment and to meet deadlines and reprioritize as necessary
• Ability to mentor and develop staff
• Demonstrated ability to effectively source and recruit qualified candidates
• Demonstrated understanding of medical manpower planning and the requirements of each individual market and/or specialty
• Ability to effectively interview, screen, and establish rapport with candidates
• Strong organizational skills to maintain large amounts of data and information on candidates, markets, and the organization

About Steward Health Care

Steward Health Care is a different kind of healthcare company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

As the country's largest physician-led, minority-owned, integrated healthcare system, our doctors can be certain that we share their interests and those of their patients.

Together we are on a mission to revolutionize the way healthcare is delivered - creating healthier lives, thriving communities, and a better world.

Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.