Director Provider Network Management job opportunity at Corewell Health.

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Corewell Health Director Provider Network Management
Experience: 5-years
Pattern: full-time
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degreeMBA
loacation Grand Rapids, MI, United States Of America
loacation Grand Rapids, ..........United States Of America

Job Summary Establish and maintain productive relationships with providers across geographic regions and/or large health care delivery systems. Understand market dynamics, including mergers and acquisitions, and delivery system expansion plans, including physician employment strategies. Link Priority Health's strategic objectives with delivery system initiatives to identify opportunities to create incentives to support quality improvement and cost reduction, while improving patient satisfaction. Essential Functions Develop and maintain purposeful, long term relationships with providers based on fair and competitive business terms, with an emphasis on improving quality and the patients' experience of care, while reducing the cost of care. Oversee and direct collaborative efforts with providers in designated communities to identify improvement opportunities, develop action plans and successfully implement them. Direct the activities of the team, which many include Managers, as well as Sr. Provider Account Representatives and the Provider Account Representatives, establishing annual performance objectives and monitoring the interface between team members and network providers to ensure annual goals are achieved. Provide advice/guidance/recommendations to corporate and regional executives and business partners related to various risk arrangements, costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion. Support market specific business needs for designated communities including attending slide presentations and providing market specific data and intelligence. Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. Performs other duties as assigned. Qualifications Required Bachelor's Degree in health care administration, business administration, accounting, finance, clinical or health and human services Preferred Master's Degree (MBA, MHA, MHP) 5 years of relevant experience within provider network management, health care insurance or other health care delivery setting Required 5 years of relevant experience directly interacting with clinical practices, including experience analyzing and integrating financial and quality performance Required 5 years of relevant experience in direct management of staff Preferred 5 years of relevant experience Strong contextual knowledge related to managed care, provider reimbursement models, national health care trends and practice management Preferred LIC-Driver's License - STATE_MI State of Michigan Upon Hire required Physical Demands Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs Waist to Waist > 5 lbs: Seldom up to 10 lbs Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs Waist to Overhead > 5 lbs: Seldom up to 10 lbs Bilateral Carry > 5 lbs: Seldom up to 10 lbs Unilateral Carry > 5 lbs: Seldom up to 10 lbs Pushing Force > 5 lbs: Seldom up to 10 lbs Pulling Force > 5 lbs: Seldom up to 10 lbs Sitting: Frequently Standing: Occasionally Walking: Occasionally Forward Bend - Standing: Seldom Forward Bend - Sitting: Occasionally Trunk Rotation - Standing: Seldom Trunk Rotation - Sitting: Occasionally Reach - Above Shoulder: Seldom Reach - at Shoulder or Below: Seldom Handling: Occasionally Forceful Grip > 5 lbs: Seldom Forceful Pinch > 2 lbs: Seldom Finger/Hand Dexterity: Frequently How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here . On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Priority Health - 1239 E Beltline - Grand Rapids Department Name Value Based and Affiliate Contracting - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8-5 Days Worked M-F Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.

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