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Director, Provider Relations - East Coast

ConcertoCare

ConcertoCare

United States
Posted on Thursday, June 27, 2024
Job Type
Full-time
Description

About us:

At ConcertoCare, we are redefining care and aging for millions of US seniors and other adults with complex care needs by delivering human-first, tech-enabled care in the home. Our care teams leverage our value-based, interdisciplinary care model to address unmet health and social needs and to improve the quality of life for our patients. We take a holistic, equitable, and compassionate approach to health and wellness in partnership with our patients and their families, caregivers, and communities. In short, we strive to offer the kind of healthcare that we would want our own loved ones to experience.

Who we are looking for:

  • The development and execution of a network provider and facility engagement strategy aimed at building collaborative relationships and referral flows with network PCPs, specialists, and facilities. Your work will ensure ConcertoCare teams are able to effectively and efficiently communicate with network providers and gain access to attributed patients across settings (e.g., SNFs, EDs). You will be essential to building an ongoing presence in the provider community to foster future business growth.
  • Reporting to the Director of Engagement, the Director, Provider Relations is responsible for:
  • Own and maintain relationships with key health plan stakeholders
  • Build strategy in partnership with health plans to drive provider engagement
  • Develop, own, maintain, and grow relationships with key accounts (Health Systems, ACOs, IPAs, Physician Groups)
  • Develop KPIs and metrics for the provider relations team
  • Work with key stakeholders to develop internal and external reporting to measure KPIs and organizational success within provider relations scope
  • Direct, manage, and supervise Physician Liaison (s) & Sr. Physician Liaison (s)
  • Ensuring timely and accurate documentation of outreach by the provider relations team

What you will do:

  • Interface, collaborate and influence executive leadership and key stakeholders, both internal and external
  • Develop network provider and facility engagement strategies
  • Conduct outreach for new business opportunities both telephonically and in-person
  • Engage with Health Systems, IPAs, ACOs, Physician Groups & PCPs and other providers to build collaborative relationships
  • Educate key account stakeholders on ConcertoCare products and services
  • Utilize reporting and KPIs to track activity and key network information
  • Continually identify and implement opportunities to improve network provider engagement defined by collaboration with ConcertoCare clinical teams and patient referrals into ConcertoCare clinical programs
  • Improve network facility (e.g., hospital, SNF) engagement as defined by ConcertoCare clinician access (in person and / or telephonic) to attributed patients and opportunities for inpatient and discharge care collaboration

What you will need:

  • Bachelor’s degree required
  • Master’s degree preferred
  • 10+ Years Provider Network Management / Provider Engagement Experience
  • ACO/Health System and / or Medicare Advantage health plan experience
  • 3+ years’ experience using a CRM (preferably Salesforce)
  • 3+ years’ experience working with key stakeholders at health plans
  • Advanced analytical skills
  • Excellent verbal and written communication skills
  • Ability to travel within the east coast of United States, up to 50 % of the time
  • Ability and means to travel as needed in a timely manner to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. DRIVER REQUIREMENTS: Licensed for a minimum of 5 years. No vehicle-related suspensions/reinstatements, DUI, reckless driving, or felony convictions within the last 7 years. Multiple violations and accidents within the last 5 years would be subject to review.

ConcertoCare requires all “frontline workers” to be fully vaccinated and to provide records for validation. Medical or religious exemptions will be considered contingent upon the review of appropriate documentation.

Base Salary/ Wage Range $120,000 - $135,000 plus annual bonus. Compensation for the role is commensurate with the candidate’s qualifications, skills, competencies, and experience and may fall outside of the range shown. ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

ConcertoCare is an Alcohol/Drug/Smoke-Free Workplace

Salary Description
120000.00 to 135,000.00