Job Description
Job Description
Key Responsibilities :
The Regional Manager, Provider Engagement is responsible for developing and managing strategic relationships with providers and practice leaders within a designated region. This role plays a critical part in supporting provider performance, promoting alignment with value-based care objectives, and ensuring a strong provider experience within the ACO network. The Regional Manager acts as a trusted liaison between clinical teams, leadership, and network partners.
Provider Relationship Management
- Serve as the primary point of contact for contracted providers and clinical leadership within the ACO network
 - Develop and execute provider engagement strategies to foster collaboration, trust, and accountability
 - Lead provider onboarding and orientation to ACO programs, expectations, and performance metrics
 - Conduct regular provider meetings, site visits, and feedback sessions to understand needs and concerns
 - Support initiatives to improve documentation and coding accuracy, particularly HCC / risk adjustment
 
Performance & Quality Support
Collaborate with analytics, population health, and care coordination teams to deliver actionable insights to practicesHelp practices understand and improve key metrics including quality performance, utilization, cost efficiency, and risk adjustment (e.g., HCC coding)Provide education and tools to support best practices in documentation, care coordination, and patient outcomesIdentify gaps in performance and work collaboratively with internal teams and providers to implement improvement initiativesCommunication & Reporting
Deliver clear and timely updates to providers on ACO initiatives, payer program requirements, and network-wide performanceTrack and report on provider engagement activities, trends, barriers, and improvement efforts within the regionElevate provider concerns or operational challenges to appropriate internal stakeholders for resolutionSupervisory Responsibilities :
Manage team of Provider Consultants
Qualifications
Education & Experience
Bachelor’s degree in healthcare administration, public health, business, or related field required; Master’s degree a plus5+ years of experience in provider relations, practice management, clinical operations, or network development within a healthcare organizationExperience working in value-based care environments, ACOs, or managed care preferredStrong understanding of population health, care coordination, and quality improvement strategiesSkills & Competencies
Excellent interpersonal and communication skills with the ability to build rapport and influence stakeholdersAbility to analyze performance data and translate into practical recommendations for clinical teamsStrong organizational skills, with the ability to manage multiple priorities across practices and teamsSelf-motivated, results-oriented, and comfortable working in a fast-paced, matrixed environmentProficiency in Microsoft Office (Excel, PowerPoint, Word), and familiarity with data visualization / reporting tools (e.g., Tableau, Power BI)Preferred Qualifications
Clinical experience or background (e.g., RN, LPN, MA)Experience working with EHR systems, population health platforms, or healthcare analytics toolsFamiliarity with Medicare Shared Savings Program (MSSP), risk-based contracts, or other alternative payment modelsPreferred Qualifications
Clinical background (e.g., RN, NP, PA, MD) a plusExperience working with FQHCs, IPAs, or multi-specialty groupsFamiliarity with MACRA, MIPS, and CMS Innovation Center modelsKnowledge of population health platforms and EHR systemsLanguage Skills :
Ability to read and comprehend simple instructions, correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one situations to visitors, clients, physicians, healthcare entities, leadership and other employees of the organization.
Reasoning Ability :
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Computer Skills :
MS Office Productivity Tools (Word, Excel, Outlook, PowerPoint), SQL, Power BI, SSRS, relational databases and other related software / technology.
Other Skills and Abilities :
High accuracy and extreme confidentiality a MUST . Detailed oriented and very organized.
Physical Demands :
While performing the duties of this Job, the employee will have a combination of standing, sitting, bending and reaching. May work at a computer monitors for prolonged periods. The employee may lift and / or move up to 10 pounds.