Senior Provider Relationship Manager - Physician Network - Southwestern Health Resources

Senior Provider Relationship Manager -Physician Network - Southwestern Health Resources  

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

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

Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

 Department Highlights:

• Hybrid Position
• Gain a sense of accomplishment by contributing to a teamwork environment.
• Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
• Contribute and work on a cross functional team

What You Will Do: 

Under the direction of the Manager of Provider Relations, develop, implement and periodically enhance the provider performance strategy and network growth plan for assigned regions including but not limited to incorporating 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. 20%
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.
20%
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 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. 20%
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.
20%
As a CIN and ACO, SWHR is responsible for the administration and performance of the network - particularly as it relates to attributed lives. The majority of member lives are consolidated in a small percentage of clinics. The senior role is responsible for driving performance in network efficiency, quality, cost, and other performance areas for the clinics and accounts with the most member lives that drives the performance of SWHR's contracts. 10%
The senior role is also responsible for onboarding new employees to the department, acting as the first escalation point for issues/complaints, participating in resolving complex situations with providers and practices, leading and piloting new initiatives, and otherwise acting as an extension of the leadership team in driving continuous process improvement. 10%