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Director of Provider Engagement (Mid West Market)

Description


The Director of Provider Engagement is accountable for developing and executing a best-in-class national provider engagement strategy. This individual is responsible for establishing the operating plan to achieve the strategic goals of all provider engagement activities, including providing oversight of implementation and execution. The development and growth of mutually successful, long-term relationships with individual physicians, practices, and health systems to support and improve increased participation in the Vatica program is a core function of this role.

Operates with significant independence and minimal supervision.

Responsibilities: 


  • Formulate and execute a successful provider engagement strategy, which leads to the achievement of Vatica’s corporate goals as well as those of its health plan partners 
  • Provide leadership that combines broad, strategic vision with a critical eye for optimization of internal operations and the achievement of exceptional results. 
  • Develop and lead execution of the full spectrum of provider engagement activities from initial onboarding and implementation to ongoing account management; including those designed to improve participation by, and retention of, individual physicians, practices, and health delivery systems. 
  • Utilize and continuously enhance a national playbook for engaging Vatica Health’s provider network, including best practices for engagement and issue resolution. 
  • Optimize performance through close collaboration with the Payer & Provider Sales, Clinical Operations, Member Engagement and Analytics teams. 
  • Serve as the point of contact for escalated provider matters. 
  • Forecast, monitor, and report key performance metrics (e.g. provider adoption, penetration rates) 
  • Management of staff, including recruiting, performance assessments 
  • Enhance provider performance resources and tools, including dashboards and scorecards 
  • Drive strategic initiatives within the provider network and ensure that the alignment of departmental objectives is congruent with corporate strategy through active participation in corporate strategic planning, budgeting/forecasting and human resource management. 

Requirements


  • Bachelor’s degree in Healthcare (or related field) or equivalent work experience. Significant industry experience will be considered in lieu of a bachelor’s degree. MBA or MHA preferred. 
  • Five, or more, years of experience working with primary care practices and health delivery systems: network development, engagement, and value-based care performance optimization 
  • Deep knowledge of how to succeed in value-based care 

  • Strong relationship and provider engagement/account management skills 
  • Strong leadership skills including experience building and managing a high-performing team 
  • Leadership skills that extend cross-functionally and contribute to driving an exceptional experience for participating providers/practices/health delivery systems 
  • Results-oriented, capable of clearly translating strategic objectives into actionable processes that drive desired outcomes 
  • The ability to influence both provider audiences through strong written and verbal communication skills, including formal presentations 
  • Excellent organizational and communication skills 
  • Familiarity with Commercial, Medicare and Medicaid risk adjustment 
  • Experience working with risk-bearing or large health delivery systems is preferred 
  • Travel Required [25%] 

Competencies


 Builds Effective Teams, Directs Work, & Develops Talent

  • Building strong-identity teams that apply their diverse skills and perspectives to achieve common goals.
  • Developing people to meet both their career goals and the organization’s goals.
  • Providing direction, delegating, and removing obstacles to get work done.

Plans and Aligns, Resourcefulness

  • Plans and prioritizes work to meet the goals of the business.
  • Breaks down objectives into plans and actions to achieve significant milestones.
  • Anticipates and readily adjusts plans.
  • Maintains organization of resources to support efficiency.

Strategic Mindset

  • Considering future possibilities or roadblocks and creating strategies to drive results.
  • Anticipates future trends and implications of decision.

Decision Quality

  • Demonstrates sound and timely decision making to maintain alignment with the needs of the company.
  • Uses critical thinking with analysis, knowledge, and experience to make decisions.

Balances Stakeholders & Manages Conflict

  • Anticipating and balancing the needs of multiple stakeholders and multiple projects.
  • Highly prepared and knowledgeable about expectations.
  • Delivers fair and flexible response to stakeholder needs.
  • Handling conflict situations to resolution effectively and professionally.
  • Applies fair decision-making to balance competing interest mediating any points of abrasion.

Drives Results, Vision, and Purpose

  • Ensure daily tasks lead to impactful results that align with Vatica priorities.
  • Results-driven champion for Vatica.
  • Adjusts plans as needed to ensure effectiveness.
  • Profitability focused, persistent in achieving objectives with a positive track record of exceeding performance.

Benefits


WORKING AT VATICA HEALTH ADVANTAGES


Prosperity


  • Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
  • Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
  • 401k plans– we want to empower you to prepare for your future
  • Room for growth and advancement- we love our employees and want to develop within

Good Health


  • Comprehensive Medical, Dental, and Vision insurance plans
  • Tax-free Dependent Care Account
  • Life insurance, short-term, and long-term disability

Happiness


  • Excellent PTO policy (everyone deserves a vacation now and then)
  • Great work-life balance environment- We believe family comes first!
  • Strong supportive teams- There is always a helping hand when you need it

Salary is based on factors such as qualifications, experience, skills, and location. The total compensation for this position ranges from $161,000 to $178,000 (annualized USD) but is just one component of our comprehensive compensation package.

Life at Vatica Health

Vatica Health is a leading services and technology company that improves payer and provider performance in value-based care. We connect healthcare stakeholders to optimize quality and manage risk. Our clinical experts leverage our proprietary technology to seamlessly integrate into the provider office workflow. By removing the technical and administrative burdens associated with value-based care, we put the doctor back in the driver's seat. Our clinical documentation is compliant with today's increasingly complex regulations and enhances risk-adjusted reimbursements, lowers audit risk and improves quality of care. Our differentiated approach to risk adjustment and quality drives increased member and provider engagement. By completing the Last Mile of value-based care, Vatica Health delivers the future of healthcare today. The Problem: Payers and other at-risk entities lack effective means to capture complete and accurate risk scores and improve quality measures for the majority of their members across all business lines. Providers lack the space, the staff and patient engagement to effectively improve the cost and quality of care. Our Solution: Vatica Health pioneered the delivery of the industry's first Provider-centric, Risk Adjustment and Quality (PRAQTM) solution that measures and improves quality of care, provider and payer financial performance, and overall population health. Working at Vatica Health: We are seeking smart, hands-on, driven, collaborative team players with a thirst for learning and innovating. We leverage state-of-the-art technology to communicate, collaborate and get work done - fast. If you have an entrepreneurial spirit and a passion for producing amazing work that measurably impacts our industry, we want to talk with you. Connect with Vatica Health on Twitter @VaticaHealth. Specialties: Risk Adjustment, Value-based Care, Clinical and Quality Outcomes, Claims and Payment Integrity, Healthcare Data insights, Quality Improvement, Risk core Accuracy, Annual Wellness Visit, Medicare, CMS Star Ratings, NCQA, HEDIS, QRS, ICD-10, Cloud, Big Data
Thrive Here & What We Value* Empowerment and Growth Opportunities* Competitive Compensation Structure* WorkLife Balance Emphasis* Supportive Team Environment* Comprehensive Benefits Package (Healthcare, Insurance Plans, Retirement Savings)
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