Provider Relationship Manager – Network Physician Engagement - SWHR

Provider Relationship Manager – Network Physician Engagement - SWHR

Southwestern Health Resources is looking for a highly skilled Provider Relationship Manager.  Is that you?

Work location: Southwestern Health Resources Headquarters, Hybrid: 1601 Lyndon B. Johnson Freeway, Farmers Branch, TX 75234.

Work environment: Network Physician Engagement

What You Will Do:

Under the direction of the Manager of Network Performance, develop, implement and periodically enhance the provider
performance strategy and network growth plan for assigned regions including but not limited to incorporating primary care
physician feedback into the overall approach, identifying service line and location gaps, and market research. Actively engages stakeholders, including face to face outreach to THPG, UTSW, EPN, CAP, and other various private practice clinic employees, specialists and leaders. Collaborate with clinicians to establish and refine workflows that accomplish program and system goals of improving care coordination by reducing costs and increasing quality of care. Coordinate outreach efforts with appropriate parent organization liaison teams and facility/hospital administration. 25%
Recruit, onboard, and launch new clinicians and medical groups into the network including marketing and outreach campaigns
to promote services and clinical programs to the community and existing SWHR provider network to increase awareness,
familiarity, and utilization of new providers. Identifies challenges to quality and cost effective patient care across all service lines and specialties. Seeks out opportunities to engage new specialists, services and facilities. Utilizes market knowledge and multiple data sources to create strategic initiatives and action plans, which positively impact and improve care coordination. Create detailed presentations for leadership that identify opportunity and demonstrate solutions for improved integration and performance in value based care. 25%
Through active engagement and increased accountability, ensures and maintains the compliance of minimum work standards as defined by organizational leadership committees by partnering with various stakeholders and resources both internally and externally. Prepares detailed reports to establish value based care performance data and potential barriers, outlining obstacles and establishing recommendations for improved partnerships. Consistently logs communications with providers, facilities, leadership teams, zone and entity leaders to maintain momentum and follow through for proven results. Create opportunities for primary care providers to engage with service line leaders, post acute facilities, specialists and others to develop and maintain relationships (e.g., inservices, remote sessions, etc); share ideas with other regions to develop a set of best practices to increase connectedness. Actively monitor and ensure physician performance and compliance to network standards including but not limited to total cost of care, quality, network efficiency, risk adjustment, patient experience, and contract related carefully designed metrics. Work with clinicians to understand any challenges, reinforce expectations, facilitate solutions, and increase provider satisfaction to improve overall
performance. 25%
Maintains accurate records of action plans, physician credentialing, and ease of use opportunities, activities and correspondence with all stakeholders. Prepares ad hoc reports as requested by leadership, providers, practice executives, entity and zone leaders. Analyzes effectiveness of integration and impact on improved opportunities for care coordination. Monitor progress with Home Health, ED Admissions, and Pathology in terms of SWHR contracted and/or aligned vendors and facilities and communicate opportunities with SWHR primary care providers and specialists. 25%

What You Need: 

Education
H.S. Diploma or Equivalent 4 Years Additional experience in lieu of Bachelor's Degree Req Or
Bachelor's Degree Healthcare, Business, or related field. Req And
Master's Degree Healthcare, Business, or related field. Pref

Experience
2 Years Experience in health care, managed care, consulting, sales/growth, services, insurance, or account management (with Bachelor's Degree) Req or
6 Years Experience in health care, managed care, consulting, sales/growth, services, insurance, or account management (without Bachelor's Degree) Req