Providence Health & Services Provider Network Development Manager in Torrance, California
Providence is calling a Full Time, Day Shift Provider Network Development Manager at our Providence Medical Institute location in Torrance, CA.
In this position you will:
Be responsible for the growth and profitable development of the provider network in assigned area(s), and is the direct interface among Providence St. Joseph Health and the High Performing Network (HPN).
Promote population health initiatives aimed at improving the patient experience and health outcomes.
Provide continuous education, support, training and troubleshooting to affiliate physicians and their staff. Also serves as an interface between the Management Services Organization (MSO) and the HPN.
Required qualifications for this position include:
3 years of general healthcare, administrative support, project management or provider services work experience.
Must be knowledgeable about incentive programs, contract reimbursement, practice and network profitability, ACO's and other HCP initiatives, as applicable.
Demonstrated accountability for assigned network of physicians and practices required.
Minimum 5 years of experience within a health system, medical group/IPA or related healthcare organization.
Healthcare industry sales or provider relations experience.
Experience in overall business analysis including marketing, quality and financial data.
Demonstrated experience developing successful working relationships with physicians.
Demonstrated ability in leading and developing high performing teams required.
Ability to work effectively with all levels of personnel (e.g., MD, office staff) required.
Robust analytical skills with an emphasis on data-supported decision making required.
Good understanding of HMO systems' provider reimbursement mechanisms required.
Knowledge of CPT-4 and ICD-10 coding systems required.
Excellent computer skills including customer relationship management tools (CRM) required.
Expertise in Microsoft Office applications (Word, Excel, PowerPoint) required.
Ability to travel based on business needs required.
Preferred qualifications for this position include:
5 years of work experience in a health plan, managed care organization, medical group, physician office or network setting.
Operations work experience with a track record of driving business and financial performance (profit/loss)
Leadership position experience in network development, business development and provider relations preferred
About the location you will serve:
Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Healthcare Support
Req ID: 242985