Senior Director Provider Network

Provider Network Strategy Manager

Accountable for supporting the efforts towards the successful development and implementation of corporate-wide value based strategies, network performance and operational efficiencies. Responsible for identifying opportunities to reduce cost, improve quality and enhance the member experience of care while at the same time monitoring the results of these efforts.

Essential Functions

• Participates with the Vice President of Provider Network developing and implementing Priority Health's philosophy, mission, goals, and objectives that align with the nationwide network expansion and operation support. Ensures department policies, programs, and plans are consistent with and support Priority Health's core values and mission.
• Works with department leaders to identify, recommend, develop, and update departmental strategy and goals to support Priority Health philosophy and longer-term strategic intent. Develops and achieves business goals that include establishing and maintaining operational standards.
• Work cross-functionally with other individuals to remove barriers impeding department goals and targets and to identify opportunities for improvement and facilitate problem resolution.
• Cultivate and maintain productive relationships with key hospitals, physician medical groups, organized provider organizations and ancillary vendors. Oversee negotiation strategies and lead or participate in negotiations with key providers. Serve in leadership positions on key community boards of directors and statewide professional / industry organizations.
• Provide advice / guidance / recommendations to Vice President and business partners regarding health care costs, cost savings opportunities, best practices, provider performance issues, provider compensation, and network expansion.
• Lead, motivate and manage the team of professionals responsible for the span of control defined for this position.
• Collaborate with stakeholders across the organization to ensure successful outcomes for Provider Network initiatives and strategies.
• Responsible for monitoring budget and preparing annual fiscal budget with the Vice President of Provider Network.

Qualifications

Physical Demands

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom up to 10 lbs

5 lbs : Seldom

2 lbs : Seldom