Provider Communications Manager

Provider Communications Manager

The Provider Communications Manager is a key contributor responsible for building and nurturing relationships with our provider partners to support the organization's network growth and performance goals. This role is responsible for developing and executing communication strategies that foster strong, collaborative relationships with provider partners serving dual-eligible (Medicare-Medicaid) members. This role ensures providers are well-informed, engaged, and supported in delivering high-quality, coordinated care in alignment with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and business-as-usual (BAU) communications, support regulatory compliance, and champion digital innovation in provider engagement.

The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing implementation and evolution of CCA's enterprise-wide provider engagement strategy targeted at helping CCA deliver a best-in-class experience for our providers.

No, this position does not have direct reports.

Manage the development and implementation of provider communications efforts related to CCA operational and strategic priorities.

• Convene and oversee project specific cross functional work teams
• Develop and manage project plans, timelines, approvals, and deliverables
• Work closely with business leaders across the organization to prioritize messaging and core content
• Partner with Communications Team to ensure alignment on branding, strategy, design, and content
• Act as primary liaison with external vendors
• Facilitate Communications Team in content creation as the subject matter expert for provider network
• Maintain inventory of all provider communications templates
• Develop and manage system for tracking all communications being delivered to CCA providers from the organization

Support cross-functional provider communications Steering Committee.

Provide guidance and oversight on provider communications for business owners throughout the organization.

In partnership with Business Intelligence, Finance, Revenue Cycle, Clinical and Provider Analytics, develop and share performance reporting documents and deploy analytics to support communication with the network and drive performance improvements.

Lead the planning, project management, and execution of annual and ongoing updates to the Provider Manual, ensuring accuracy, compliance, and accessibility

Develop and execute a digital communications strategy, leveraging digital channels (newsletters, portals, websites, social media) to enhance provider engagement and streamline information delivery.

Drive continuous improvement and implementation of updates to the provider portal and website, ensuring user-friendly design and relevant content

Oversee the creation and distribution of provider newsletters (monthly), bulletins, educational resources, and training materials, ensuring consistency of messaging and compliance with regulatory guidelines

Monitor and analyze provider engagement and feedback, using data to identify trends and opportunities for process improvement

Ensure timely documentation and reporting of all provider and corporate communications, engagement metrics, and provider satisfaction to leadership

Stay current on industry trends, best practices, and regulatory changes affecting provider communications and dual-eligible populations

This is a remote or hybrid role with the expectation of working according to Commonwealth Care Alliance's standard operating hours of 8 : 30am-5pm Monday-Friday.

Bachelor's degree in communications, healthcare administration, business, marketing, or a related field required.

Master's degree in communications, public health, health management, business administration, or a related field preferred.

Certification in project management (PMP, Agile) or communications (e.g., APR).

No, this is not required for the job.

5+ years of experience in provider relations, healthcare communications, or network management within a health plan or similar environment.

Experience with dual-eligible (DSNP) populations preferred.

Demonstrated project management skills, including experience managing complex, cross-functional projects and meeting deadlines.

Strong understanding of Medicare, Medicaid, duals program, and health plan operations, including regulatory and compliance requirements.

Demonstrated ability to develop and implement strategic communication plans that align with organizational goals and drive provider engagement.

Exceptional written and verbal communication skills, with the ability to translate complex information for diverse provider and internal audiences.

Experience presenting to and advising executive leadership, with the ability to synthesize complex information for senior audiences.

Proficiency in digital communications platforms, content management systems, and data analysis tools.

Excellent organizational, analytical, and problem-solving abilities.

Ability to build and maintain positive relationships and collaborate effectively with internal and external stakeholders.

Proactive in identifying issues and developing effective solutions.

Adaptable and able to thrive in high-pressure environments, adjust to shifting priorities, and manage multiple deadlines.

Results-oriented and self-motivated, with the ability to work independently and as part of a team to meet departmental goals.

Demonstrates empathy, self-awareness, and the ability to navigate sensitive conversations diplomatically.

English

Familiarity with provider network management systems and healthcare data standards.

Experience with marketing automation tools or advanced digital analytics platforms.

Knowledge of health equity and cultural competency in provider communications.

Experience working with multi-state provider networks.

Advanced skills in graphic design or multimedia content creation.