Director of Provider Network Relations

Job ID
2021-166792
Employment Type
Full Time
Department
Member Services
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Standard Hours
Monday - Friday (8:00 AM - 5:00 PM)
Work Schedule
8 Hour
Location
CA-Bakersfield

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort to develop Dignity Health’s Medicaid population health management pathways. Dignity Health MSO is dedicated to providing quality administrative and clinical services to groups, hospitals, health plans, and employers with a business objective to excel in coordinating patient in a manner that supports containing costs while continually improving quality of and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including , dental, and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance, and Long Term Disability. We also offer a 401k retirement plan with a generous employer match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

The Director of Provider Network Relations is a business-minded leader who is able to cultivate, build and maintain relationships with health care providers, provide thought leadership and innovation and support sustained growth. Provides strategic direction and tactical leadership to ensure provider experience, will provide direction as it relates to communication and interactions with providers. This will include direct oversight of the Provider Network Relations department, which includes the management, and mentoring of the Provider Relations representative team, oversight of provider relations as a whole for DHMSO, which includes network education, front line provider communication, issue resolution and expansion of networks. The Director will have a collaborative relationship with the clinical executive leader(s) and ensure there is a consistent partnership to design, drive and execute on the provider relations approach/vision. Provide consistent communication to executive leadership to improve our business model with providers, which will encourage the improvement of health for our patients.

 

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"provider relations" manager

Qualifications

Successful candidates will possess the following expertiese:

    • Bachelor’s Degree in business administration required and/or 5 years’ experience in a related field in lieu of education

    • 5+ years of healthcare management, network development, and/or provider/payer contracting, finance, or administration experience in a large healthcare organization or health plan or managed care environment.

Additional preferred epxerience includes:

  • Master’s degree in business administration, healthcare administration or related field

  • 10+ years of healthcare management, network development, or provider/payer contracting, finance, or administration experience in a large healthcare organization or health plan or managed care environment.

  • Previous senior management experience including re

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