Medicare Provider Performance Manager
4 weeks ago
The Provider Performance Manager is a key member of a cross-functional team responsible for ensuring the effective management of the performance outcomes of the provider network in Central Florida. This role requires strong leadership and management skills, as well as the ability to develop and execute strategic plans to drive growth, development, and vision for each provider group.
Key Responsibilities- Develop and manage talent of direct reports in the assigned Central Florida market.
- Lead network development within the Central Florida market and cultivate key provider partner relationships to drive optimal performance on Stars, risk adjustment, utilization management, and overall financial performance.
- Lead market-level projects and strategies related to provider engagement.
- Prepare for and facilitate external physician meetings and value-based contract administrative meetings (JOCs).
- Prepare for and facilitate a monthly financial review to senior management, including financials, quality and coding progress, action plans, reviews/evaluations, and any accompanying analysis.
- Bachelor's degree preferred.
- 6-8 years of professional experience.
- People management experience strongly preferred.
- Ability and track record of thinking strategically, applying an enterprise mindset, and business acumen resulting in meeting or exceeding goals in growth and profitability.
- Keen customer focus and ability to develop strong, lasting relationships with providers resulting in deeper collaboration and satisfaction.
- Capacity for leading initiatives and influencing people on cross-functional teams; ability to drive transparency and accountability, and learn the strengths and weaknesses of the team so as to inform leadership to put people in a position to succeed.
- Ability to develop strong relationships across multiple levels of the organization.
- Effective communicator.
- Master's degree; MBA or other.
- Direct experience with health plan operations, preferably specific to government-sponsored health plans.
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the healthcare system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
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