Leader, Provider Partnership Liaison

Company: MVP Health Care
Location: Fishkill
Posted on: February 5, 2025

Job Description:

Leader, Provider Partnership Liaison

625 State St, Schenectady, NY 12305, USA --- Fishkill, NY 12524, USA --- Rochester, NY, USA --- Tarrytown, NY, USA Req

Thursday, January 23, 2025

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Leader, Provider Partnership Liaison to join . If you have a passion for building strong relationships, improving healthcare access and quality and strategic alignment this is the opportunity for you.

What's in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York Qualifications you'll bring:
  • Understanding of healthcare industry and provider motivations.
  • Bachelor's degree in related field (e.g., health-related, behavioral science). A communications or marketing focus helpful.
  • Minimum of 3-5 years of Relevant work and leadership experience in provider liaison engagement and relationship development.
  • Leadership & Collaboration:
    • Team Leadership: Experience leading a team of provider relations professionals, setting goals, providing mentorship, and ensuring high performance.
    • Cross-Functional Collaboration: Ability to work closely with other departments such as Network Management, Billing, Operations, Health Management, Legal, and Compliance, to streamline processes and enhance the provider experience.
    • Strategic Thinking:
      • Market Planning: Familiarity with MVP service area markets and competitor activities to help position the provider network for success.
      • Healthcare Industry Knowledge:
      • Regulatory Understanding: knowledge of healthcare laws and regulations, including HIPAA, ACA, reimbursement models (e.g., fee-for-service, value-based care), and accreditation standards (e.g., NCQA, URAC).
      • Reimbursement Models: Familiarity with different insurance models and how providers are compensated (e.g., capitation, bundled payments, pay-for-performance).
      • Data Analysis & Performance Monitoring:
        • Provider Performance Metrics: ability to track and assess provider performance using objectives and key results, including quality of care, patient satisfaction, claims processing, and financial performance.
        • Reporting and Insights: experience using analytics tools to generate reports that provide actionable insights for leadership, helping drive decision-making and improvements in provider performance.
        • Health IT and EHR Systems: Understanding of electronic health records (EHR), telemedicine platforms, and provider portals to facilitate communication and streamline administrative processes.
        • Relationship Management:
          • Conflict Resolution: Ability to mediate and resolve disputes between healthcare providers and the organization in a way that maintains a positive relationship.
          • Provider Engagement: Experience building and maintaining long-term partnerships with healthcare providers, demonstrating empathy, trust, and responsiveness.
          • Stakeholder Communication: Skilled in tailoring communication for different stakeholders, including senior management, providers, and external partners, to ensure clarity and alignment.
          • Problem-Solving & Critical Thinking:
            • Issue Resolution: Strong ability to identify, analyze, and resolve problems related to provider performance, claims, contract disputes, and operational inefficiencies.
            • Innovative Solutions: Think creatively about solutions to challenges faced by healthcare providers, such as administrative burdens, reimbursement issues, and care coordination.
            • Strong Communication: Ability to articulate the needs and concerns of both providers and the organization.
            • Curiosity to foster innovation and pave the way for growth
            • Humility to play as a team
            • Commitment to being the difference for our customers in every interaction Your key responsibilities:
              • Responsible for planning, training, and coaching the professionals responsible for creating and nurturing strong relationships with healthcare providers and practice employees in their designated markets to drive engagement and behavior change ensuring consistency across MVP Health Care's entire service area.
              • Provider Partner Delegation: assign provider relationships in the market and delegate project responsibilities to PPL Professionals.
              • Strategic Planning: Align with cross-functional strategic planning efforts to assess provider performance and develop improvement initiatives. Collaborate with Regional Medical Directors and cross functional teams to ensure alignment of provider partnership strategies with business objectives. Coach PPL Professionals in the development of their respective market plans that incorporate relationships and strategies with systems, primary care practices, and specialists to support quality, risk and medical cost mitigation strategies in the network.
              • Staff Motivation: Motivate and energize staff, fostering a culture of positive change and clinical innovation.
              • Work directly with priority strategic provider partners to review, implement and track activities to hit key performance targets and achieve network partnership goals including, implementing programs and solutions to improve patient outcomes and experience and reduce healthcare costs; develop workplans to effectively project manage any initiatives.
              • Analytics and Reporting: Ensure the availability of and training on analytics, provider reporting, and data management infrastructure to track performance and identify interventions.
              • Leverage data and analytics insights to lead in-person and remote touchpoints with providers to discuss whole person health and lifestyle medicine service line opportunities, performance, cost management and APM/VBC models.
              • Education Development Programs: support the development and provide education and training programs for the PPL team, as well as healthcare providers and practice employees on new programs and initiatives.
              • Performance Monitoring & Reporting: track the performance of network providers in their market, ensuring that they meet the organization's quality standards, and financial goals.
              • Workgroup Leadership: lead and serve on cross-functional workgroups to identify and address performance improvement challenges.
              • Build relationships with systems, primary care practices, and specialists to support quality, risk and medical cost mitigation strategies in the network.
              • Issue Escalation: Manage the critical provider group issues escalated by PPL Professionals, ensure timely solutions are identified or decisions are made, and provide managerial oversight of the execution of any action plans.
              • Provide regular reports and insights on provider performance to Senior Leadership.
              • Support contracting and negotiations as needed by the Network Management Team.
              • Operational Efficiency: collaborate with other departments to streamline processes, reduce administrative burden, and enhance the provider experience.
              • Implement technology solutions (like provider portals) to make interactions more efficient and transparent.
              • Strategy & Growth: support Sales and Field Marketing in their PPL market for expanding and optimizing membership in service of the organization's growth objectives.
              • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be:
                • Reside in one of the following markets: Rochester, Schenectady, Tarrytown, Fishkill
                • Hybrid preferred (would consider Virtual depending on candidate's proximity to an MVP office) w/ the focus on in person external meetings with providers in the service markets.
                • Ability to travel consistently throughout their designated MVP service area in NY and/or VT with occasional overnights stays.
                • Travel requirements 25-50% both within their designated market and occasionally between markets or at various MVP offices as needed. Pay Transparency
                  MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
                  
                  We do not request current or historical salary information from candidates.
                  
                  MVP's Inclusion Statement
                  At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization . click apply for full job details

Keywords: MVP Health Care, Hempstead , Leader, Provider Partnership Liaison, Other , Fishkill, New York