Description:
ABOUT US
Patient Care Health is on a mission with our provider and health plan partners to improve the health of our communities. We are a value-based care and administrative organization integrating the healthcare ecosystem like no other. We are fierce advocates for independent providers committed to helping culturally diverse populations improve their health and well-being. We invite you to join us and be part of the change that brings affordable, accessible, quality-based care to all Americans. The ideal candidate will be bilingual and possess 5+ years' experience in recruiting and managing provider networks along with negotiating, reviewing, and amending contracts. This experience will include a thorough knowledge of contracting with physicians, physician groups, and ancillary providers using various payment methodologies and a working knowledge of the greater Houston landscape. Ideally, the candidate will possess a high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences. Innovation, independence, and confidence are key competencies that will help you take the next steps toward a fulfilling, rewarding career with Patient Care Health.
SUMMARY
This is a key position in our organization, leading market-based development initiatives and reporting to Patient Care Health's president. This role leads the strategic direction and management of the day-to-day provider development and network activities for the market. This position works closely with PCH's unique ecosystem of partners and providers. The right candidate will be responsible for developing and implementing strategies that result in growth while maintaining a broad network of physicians, behavioral health, and ancillary providers on a market basis.
Requirements:
Key Responsibilities
- The Director, Network Development is responsible for network expansion and the administrative functions relating to provider network recruitment and development for the assigned territories within assigned markets
- This individual will work both autonomously and collaboratively with other Patient Care Health leaders and team members, demonstrating a commitment toward shared goals, strategic objectives, and the administration of organizational policies and procedures
- Participate in all phases of provider recruitment including outreach, development of provider communication strategies, provider recruitment document preparation, follow-up with providers, and securing executed contracts
- Manage and conduct effective and efficient contract negotiations, and develop strategies, tactics, and methods for specific network development initiatives
- Review, assess, and continuously identify methods for improving Patient Care Health's development/growth processes and procedures
- Develop a strong recruitment pipeline and ensure existing practices/provider networks also generate new growth in existing lines of business
- Support PCH market research for the effective creation and implementation of the network's lead generation initiatives
- Create long and short-term plans, including setting targets for milestones and adhering to deadlines for PCH market specific strategic priority initiatives
- Responsible for ensuring the provider recruitment database and documentation is accurate in all systems, including CRM
- Collaborate with internal key stakeholders to remove barriers impeding contract negotiations; manage contract implementation; identify opportunities for process improvement and facilitate problem resolution
- Partner with executive team to identify provider issues or complaints; develop and implement a course of action to resolve concerns
- Attend /support conferences, community events, and other development activities as determined by PCH
- Provide an excellent customer experience to both new provider leads and existing network providers
Required Qualifications
- Bachelor's degree in Business, Healthcare Administration, or related field of study; or, an equivalent combination of education and/or work experience
- Minimum five (5) years of experience in a healthcare network development or a directly related position and a minimum three (3) years of experience with provider research and market analysis
- Strong and effective negotiation skills with providers in all practice settings, sizes, and types (small/medium practice, large provider groups, health system provider networks, etc.)
- Demonstrated understanding of risk adjustments and value-based contracting
- Proficiency with Microsoft Office Suite and web-based technologies
- Minimum three (3) years' experience in a managerial or supervisory role
- Bilingual (Spanish)
WHAT WE OFFER:
- Competitive Compensation
- Annual Bonus Program
- Comprehensive Employee Benefits (Medical, Dental, Vision, Disability, Life)
- Unlimited Paid Time Off
- Referral Program
- 401k
- Growth Opportunities
NOTE
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an at will relationship. Agile People and Payroll provides equal employment opportunities to all applicants, without regard to unlawful considerations of or discrimination against race, religion, creed, color, nationality, sex, sexual orientation, gender identity, age, ancestry, physical or mental disability, medical condition or characteristics, marital status, or any other classification prohibited by applicable local, state, or federal laws. Agile People and Payroll may obtain a 'consumer report' about you from a consumer reporting agency for employment purposes. A 'consumer report' is a background screening report that may contain information regarding your criminal history, driving history, and information about you.
Candidates must be located in the Houston Area.
Job Type: Full-time/ In office
Schedule: Monday - Friday
Compensation package:
- Base Pay: $95,000.00 - $110,000.00 per year
- Sales Incentive
Compensation details: 00 Yearly Salary
PI94280f5a1a45-6778
