Job Description
At VillageMD, we're looking for a Manager, Network Performance Insights (Arizona Market) to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.
We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.
Integral to our team, the Manager of Network Performance Insights, based in Phoenix, AZ will develop an analytical approach to assessing network performance and optimizing VillageMD's referral network (physicians, hospitals, pharmacies, ancillary groups & other facilities, etc.) yielding a high functioning network that supports value-based contract objectives. This role will be based in Phoenix but build a network across the entire state. Responsibilities also include establishing and maintaining strong business relationships with health plans and network providers and ensuring the network composition includes an appropriate distribution of provider specialties.
What you might do in your first year :
- Create actionable analytics insights to drive improved performance in value based payer contracts, specialty partner performance, quality and cost of care outcomes
- Strategically identify gaps in network composition and strengthen relationships with Specialty Providers, Hospitals, Ambulatory Surgery Centers, Skilled Nursing Facilities, other Ancillary Providers, etc.
- Develop optimal negotiation strategies and action steps to yield desired outcome
- Develop and foster meaningful relationships with community specialist providers and conduct frequent in-person focus visits with providers
- Design and implement programs that build / nurture positive relationships between VillageMD, the health plan, providers and practice managers
- Implement training and development of providers through education programs to ensure compliance with VillageMD and health plan policies and procedure
What will make you successful here?
Strong analytical skills including expertise in analyzing large data sets, use of data visualization tools, and driving actionable insightsAbility to be proactive with strong personal initiative as well as highly organized and detail orientedDesire to assist out-of-network recruitment and support other geographic areas as neededOpenness to providing explanations and information to others on difficult issuesAbility to navigate within ambiguity, a service orientation, and a high level of humility are vital for successful assimilation into our highly collaborative, entrepreneurial cultureExcellent verbal and written communication skills; ability to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standardsStrong interpersonal skills, establishing rapport and working well with othersWhat you bring to VillageMD :
5+ years of experience in healthcare analytics, preferably in a value based care settingUndergraduate degree or equivalent work experienceStrong knowledge of health care services industry and value-based contractingKnowledge of healthcare reimbursement methodologies such Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.Ability to work from Phoenix, AZ office preferred