Managed Care Provider Relations Manager jobs in Charleston, SC

Manager of Provider Relations Specialist - ACO Industry(Manager or Director level)
South Carolina (Horry, Lexington, Beaufort, Orangeburg, Richland, Effingham, and Charleston counties)

Field-based w/ Travel up to 60% within the area
Local candidates preferred (must live in any or close to the above county)

**The ideal candidate has a combination of management, and/or leadership, as well as being a Physician’s Performance Specialist earlier in their career within the ACO/MSO industry**

Our client:
Our client is a value-based healthcare company, offering physicians the opportunity to be part of Accountable Care Organizations (ACOs) with savings in the Medicare system. (Saving of $32.2 million in 2022). The company’s ACO REACH entity, achieved $16.3 million in gross savings, placing it in the top 25% of all ACO REACH programs in the nation. It also achieved a 100% grade for quality. This is a Value-Based Care Company Outperforms Benchmarks For the Eighth Consecutive Year, Shares Bonus Payments With Participating Physicians

Summary
The Director of Physician Performance is responsible for implementing and monitoring key strategic initiatives to enhance physician engagement, with the primary objective of driving a high-performing network. They are responsible for the management and successful leadership of all Physician Performance specialists, helping ensure their effectiveness in serving as a “single point of contact”, increasing physicians’ engagement and participation in all initiatives and overall driving improved financial, revenue, and quality performance across the network.

Essential Duties and Responsibilities

• Develop and execute a cohesive physician engagement strategy.
• Responsible for the ‘overall’ (e.g., cost, revenue, quality, retention, and growth) performance of the network, including ensuring year-over-year improvements on key performance indicators.
• Analyze physician performance metrics and use data and reporting to continuously improve performance and engagement strategies, and tailored engagement plans for each physician.
• Manage a team of physician performance professionals, providing coaching, mentoring, and professional development opportunities.
• Monitor team’s productivity against key performing indicators, and other quota requirements to ensure job expectations are being fulfilled and effective.
• Direct all priority and focus items for the team ensuring that time and effort is spent in areas that will make the most impact.
• Coordinate and ensure that all specialists have been properly trained and have all the necessary tools to make them effective while engaging with physician partners.
• Implement, and oversee the maintenance of business processes and workflows that increase effectiveness and efficiency, and overall position team to support continued growth.
• Develop and maintain direct strong working relationships with key physician partners.
• Monitor and ensure that all physician partners are met, on a regular cadence, which will be based on various factors, and are being provided with clear and actionable data.
• Mentor and guide team in helping to independently identify key trends and performance gaps upon review of reporting and assisting with the development of targeted initiatives.
• Responsible for conducting ride-along visits with a team of specialists on a regular cadence to monitor the effectiveness of visits and relationships. Prepare and present executive reporting to key customers and stakeholders.

Supervisory Responsibilities:

• Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
• Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Knowledge, Skills and Abilities

• Excellent leadership, management, and project management skills
• Ability to work independently and demonstrate initiative in identifying problems, creating solutions, and developing systems to maximize effectiveness.
• Ability to communicate effectively and work with cross-functional teams.
• Ability to embrace, manage diversity and build and maintain successful teams.
• Effective problem-solving and ability to analyze and use data for decision-making.
• Effectively interact with people and develop positive relationships while being tactful, respectful, and direct in communication
• Effectively build teams, achieving results, and driving results through others
• Proficient in Microsoft Outlook, Excel, and other web-based software
• Strong customer service focus: ability to effectively interface with and influence internal/external stakeholders.
• Excellent verbal and written communication skills

Requirements

• Bachelor’s degree from an accredited institution or equivalent combination of education and experience
• 7 years of experience in a healthcare-related position, Specifically, in the MSO/ACO Industry
• Must have a combo of Management and/or Leadership Experience, as well as experience as a Physician’s Performance Specialist earlier in your career is required.
• Experience leading and/or managing a team of at least 5 members
• Travel up to 60% within the South Carolina region (Horry, Lexington, Beaufort, Orangeburg, Richland, Effingham, and Charleston counties or close by)
• Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access, and PowerPoint). Moderate to advanced Excel skills to include charts, graphs, pivot tables, macros, etc.

Compensation
Excellent based Salary $120K- $150K (title and experience will be based on experience), offering some 100% subsidized benefits plans, 18 PTO days, Holidays, car and cell allowance ( under review).


Apply
Please submit your resume in a word document. You will be contacted by a ttg Talent Solutions recruiter to schedule a video interview ASAP.

At ttg, "We believe in making a difference One Person at a Time," ttg OPT.