Manager - Provider Relations (ACO)

About the Role

We are currently seeking a dynamic ACO Provider Relations Manager who will oversee the daily management of the provider relations strategy for all contracted ACO providers, for both the MSSP and ACO REACH programs.

The Manager will be responsible for both field and office activities, delivering ACO-specific education and support to our ACO providers within the network.

Responsibilities also include improving operational efficiency across all contracted practices to ensure overall provider satisfaction and collaborating with the practices to ensure compliance with CMS standards for those participating in either of our ACOs.

This role requires exceptional communication skills, attention to detail, and a strong understanding of the healthcare industry. What You’ll Do :

• Work closely with the ACO Operations team to execute ACO initiatives throughout the year, reporting regularly on aggregate team progress, roadblocks, and provider feedback.
• Routine visits to providers in assigned territory to develop a trusted relationship and maintain open lines of communication between our ACOs and our providers.
• Conduct provider onboarding, orientation, and ongoing ACO educational training throughout the year to ensure providers are engaged in our initiatives, meet any necessary deadlines, and remain compliant with state and federal regulations as well as company policies and procedures.
• Boost the importance of the ACO line of business within provider offices.
• Lead and mentor a team of provider relations specialists, providing guidance, support, and coaching to ensure high performance and professional growth.
• Assign tasks, set goals, and monitor progress to ensure team objectives are met in alignment with organizational goals and priorities.
• Develop and implement strategies for retention, growth, and marketing within assigned territories.
• Problem-solve and identify ways to address provider issues timely and effectively.
• Work cross-functionally with internal departments
• Other duties assigned by department leaders.

Qualifications :

• Bachelor's degree or equivalent years of experience.
• 2-3 years of experience in managing provider relations, network management, or a similar role within the healthcare industry
• Demonstrated leadership experience, with the ability to lead and motivate a team to achieve shared goals and objectives.
• Ability to travel occasionally as needed for provider meetings, conferences, or other events.
• Excellent written and verbal communication skills
• Proficient computer skills and Microsoft Office programs (., Outlook, Excel, Word, and PowerPoint)

You're great for this role if :

• Strong understanding of ACO’s and Medicare FFS preferred.
• Demonstrated ability to lead and motivate a team, set clear objectives, and drive performance towards achieving organizational goals.
• Comprehensive understanding of healthcare delivery systems, reimbursement models, and regulatory requirements.
• Experience in ACO programs such as NextGen ACO, GPDC, ACO REACH, or MSSP a strong plus but not required.
• Experience in developing contract strategies, identifying opportunities for cost savings or performance improvement, and mitigating risks.
• Experienced in healthcare industry operations, fostering provider engagement, and navigating Medicare Fee-For-Service systems.
• Relentlessly resourceful. You enjoy taking ownership and can get things done without excuses. You are resilient, detail-oriented, and truly believe that no task is beneath you
• Comfortable with ambiguity and biased towards action. You enjoy thinking about complex and ambiguous problems and can execute consistently and add compounding value.
• Comfortable working in a fast-paced environment.
• A strong communicator possessing persistence, patience, and the ability to frame or explain topics in a manner suited to each unique audience.
30+ days ago