Regional Market Manager

Key Responsibilities:

The Regional Manager, Provider Engagement is responsible for developing and managing strategic relationships with providers and practice leaders within a designated region. This role plays a critical part in supporting provider performance, promoting alignment with value-based care objectives, and ensuring a strong provider experience within the ACO network. The Regional Manager acts as a trusted liaison between clinical teams, leadership, and network partners.

Provider Relationship Management

• Serve as the primary point of contact for contracted providers and clinical leadership within the ACO network
• Develop and execute provider engagement strategies to foster collaboration, trust, and accountability
• Lead provider onboarding and orientation to ACO programs, expectations, and performance metrics
• Conduct regular provider meetings, site visits, and feedback sessions to understand needs and concerns
• Support initiatives to improve documentation and coding accuracy, particularly HCC/risk adjustment

Performance & Quality Support

• Collaborate with analytics, population health, and care coordination teams to deliver actionable insights to practices
• Help practices understand and improve key metrics including quality performance, utilization, cost efficiency, and risk adjustment (e.g., HCC coding)
• Provide education and tools to support best practices in documentation, care coordination, and patient outcomes
• Identify gaps in performance and work collaboratively with internal teams and providers to implement improvement initiatives

Communication & Reporting

• Deliver clear and timely updates to providers on ACO initiatives, payer program requirements, and network-wide performance
• Track and report on provider engagement activities, trends, barriers, and improvement efforts within the region
• Elevate provider concerns or operational challenges to appropriate internal stakeholders for resolution

Supervisory Responsibilities:

Manage team of Provider Consultants

Qualifications

Education & Experience

• Bachelor's degree in healthcare administration, public health, business, or related field required; Master's degree a plus
• 5+ years of experience in provider relations, practice management, clinical operations, or network development within a healthcare organization
• Experience working in value-based care environments, ACOs, or managed care preferred
• Strong understanding of population health, care coordination, and quality improvement strategies

Skills & Competencies

• Excellent interpersonal and communication skills with the ability to build rapport and influence stakeholders
• Ability to analyze performance data and translate into practical recommendations for clinical teams
• Strong organizational skills, with the ability to manage multiple priorities across practices and teams
• Self-motivated, results-oriented, and comfortable working in a fast-paced, matrixed environment
• Proficiency in Microsoft Office (Excel, PowerPoint, Word), and familiarity with data visualization/reporting tools (e.g., Tableau, Power BI)

Preferred Qualifications

• Clinical experience or background (e.g., RN, LPN, MA)
• Experience working with EHR systems, population health platforms, or healthcare analytics tools
• Familiarity with Medicare Shared Savings Program (MSSP), risk-based contracts, or other alternative payment models

Preferred Qualifications

• Clinical background (e.g., RN, NP, PA, MD) a plus
• Experience working with FQHCs, IPAs, or multi-specialty groups
• Familiarity with MACRA, MIPS, and CMS Innovation Center models
• Knowledge of population health platforms and EHR systems

Language Skills:

Ability to read and comprehend simple instructions, correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one situations to visitors, clients, physicians, healthcare entities, leadership and other employees of the organization.

Reasoning Ability:

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.

Computer Skills:

MS Office Productivity Tools (Word, Excel, Outlook, PowerPoint), SQL, Power BI, SSRS, relational databases and other related software/technology.

Other Skills and Abilities:

High accuracy and extreme confidentiality a MUST. Detailed oriented and very organized.

Physical Demands:

While performing the duties of this Job, the employee will have a combination of standing, sitting, bending and reaching. May work at a computer monitors for prolonged periods. The employee may lift and/or move up to 10 pounds.