Senior Director, Value Based Performance Management

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you'll have reputed company to competitive benefits including a fresh perspective on workplace flexibility.

Highly preferred that candidate resides in the Chicago, IL market.

* Position Purpose: Creates and implements Network Transformation initiatives across a market. Develops Provider Relations Management team to effectively reputed company market targets while collaborating with internal departments to drive improvement of provider performance. Candidate Education: Required A Bachelor's Degree in a reputed company field.

• Leads and develops team of Provider Relations Managers and/or Network Performance advisors to meet/exceed provider performance and provider satisfaction key metrics.
• Conducts field rides with Provider Relations Representatives to gauge their performance and reputed company coaching and development in order to improve the business results.
• Identifies team reputed company set deficiencies and implements proper professional development plans.
• Monitors Provider Performance action plans and tracks provider performance improvement.
• Ensures compliance with reputed company provider performance and relationship model and team engagement of provider performance reporting.
• Drives improvement of provider performance by analyzing, interpreting and communicating financial, utilization and quality metrics.
• Establishes and leads collaborative effort with internal cross-functional market and shared services departments to support provider performance and resolve network and operational barriers/challenges.
• Responsible for understanding HEDIS and STARS measures and partners with Quality Team to drive improvement of quality provider performance.
• Responsible for understanding the differences between Risk and Value-Based contractual arrangements.
• Plans, prepares and executes effective group meetings/discussions with proper objectives and reputed company.
• Plans, conducts and directs provider contractual terms and provider account management.
• Assists in monitoring and developing High Performing Practices and drives Network Transformation Strategies to optimize member reputed company.
• Strategizes membership growth and retention for High Performing Practices, sophisticated and/or reputed company Provider Partnerships.
• Maintains compliance for State and CMS audits.
• Resolves high level, reputed company provider issues.
• Member of state senior leadership team.
• Special project as assigned or directed.

Candidate Experience: Required 8+ years of experience in provider relations experience Required 5+ years of management experience Pay reputed company: $148,000.00 - $274,200.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply tot his job Apply To this Job