Sr Provider Network Manager - PCP- MSO - FL
Company: Evolent Health
Location: Harrisburg
Posted on: January 21, 2023
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Job Description:
**Your Future Evolves Here**New Century Health (NCH) has been
transforming the delivery of specialty care and driving radical
cost and quality improvement across the member journey for patients
with cancer and cardiovascular disease. As part of Evolent Health,
we are on a bold mission to change the health of the nation by
changing the way health care is delivered. Evolenteers make a
difference wherever they are, whether it is at a medical center, in
the office, or while working from home across 48 states. We empower
you to work from where you work best, which makes juggling careers,
families, and social lives so much easier. Through our recognition
programs, we also highlight employees who live our values, give
back to our communities each year, and are champions for bringing
their whole selves to work each day. If you're looking for a place
where your work can be personally and professionally rewarding,
don't just join a company with a mission. Join a mission with a
company behind it.**Why We're Worth the Application:**+ We continue
to grow year over year.+ Recognized as a leader in driving
important diversity, equity, and inclusion (DE&I) efforts
(https://www.evolenthealth.com/diversity) .+ Achieved a 100% score
two years in a row on the Human Rights Campaign's Corporate
Equality Index making us a best place to work for LGBTQ+ equality.+
Named to Parity.org's 2020 list of the best companies for women to
advance
(https://www.evolenthealth.com/about-us/press-releases/8579/evolent-health-named-to-parity.org%E2%80%99s-best-companies-for-women-to-advance-list-2021)
.+ Continued to prioritize the employee experience and achieved an
87% overall engagement score on our last employee survey.+
Published an annual DE&I report
(https://dev.evolenthealth.com/sites/default/files-public/Evolent%20Health%202020%20DE%26I%20Annual%20Report.pdf)
to share our progress on how we're building an equitable
workplace.**What You'll Be Doing:****What You'll Be Doing:**The Sr.
Provider Network Manager is primarily responsible for primary care
physician IPA and/or MSO engagement which includes performance
management, expand NCH's services across other payors contracted
with IPA/MSO, and maintaining positive working relationships. This
role also serves as the primary liaison between PCP entity and New
Century Health's internal departments to address and resolve issues
as needed. The Sr. Provider Network Manager conducts provider
in-servicing which provides a clear interpretation of NCH's scope
and services. Other responsibilities include:+ Establishes solid
relationships with leadership at key IPAs/MSOs.+ Maintains
comprehensive MSO practice profile to include organizational chart,
affiliated health plans, corresponding membership by line of
business, geographic coverage, and payor delegated administrative
functions.+ Mitigate and address root cause related to leakage
incurred with each IPA/MSO.+ Meets with practice leadership
regularly to share NCH network performance results to help inform
and drive volume into high performing providers.+ Works closely
with NCH Growth team to further expand NCH services across IPA/MSO
payor panel+ Leads JOCs with key practices to include but not
limited to referral patterns, leakage performance, population
health measures on respective membership+ Responsible for all new
market implementation activities related to PCP onboarding,
including but not limited to client introductory meetings+
Participate during internal Product and Innovation forums on
building PCP facing tools that increase NCH's value while improving
performance**The Experience You'll Need (Required):**+ Bachelor's
degree and/or minimum of 6-9 years relevant work experience+ Strong
background in value based/full risk PCP MSO/IPA arrangements
related to Medicare Advantage and other governmental programs+
Experience in healthcare administration with strong emphasis in
Provider Operations and/or Network Development/Provider Contracting
strategies+ Excellent verbal, writing and presentation skills, and
interpersonal skills+ Extremely organized and detail oriented with
exceptional follow through skills+ Ability to multi-task in a fast
pace environment; can adapt quickly to change+ Ability to influence
change to improve provider experience+ Strong knowledge of
Microsoft programs (i.e. Word, Excel, SharePoint)+ Ability to
travel as needed (% depends on market)**Touches (Preferred):**+
Bilingual English/Spanish preferred**Evolent Health is an equal
opportunity employer and considers all qualified applicants equally
without regard to race, color, religion, sex, sexual orientation,
gender identity, or national origin.****Technical
Requirements:**Currently, Evolent employees work remotely
temporarily due to COVID-19. As such, we require that all employees
have the following technical capability at their home: High speed
internet over 10 Mbps, the ability to plug in directly to the home
internet router. These at-home technical requirements are subject
to change with any scheduled re-opening of our office
locations.Evolent Health is committed to the safety and wellbeing
of all its employees, partners and patients and complies with all
applicable local, state, and national law regarding COVID health
and vaccination requirements. Evolent expects all employees to also
comply. We currently require all employees who may voluntarily
return to our Evolent offices to be vaccinated and invite all
employees regardless of vaccination status to remain working from
home.**Evolent Health is an equal opportunity employer and
considers all qualified applicants equally without regard to race,
color, religion, sex, sexual orientation, gender identity, national
origin, veteran status, or disability status.**Compensation Range:
The minimum salary for this position is $80,000, plus benefits.
Salaries are determined by the skill set required for the position
and commensurate with experience and may vary above and below the
stated amounts.Don't see the dream job you are looking for? Drop
off your contact information and resume and we will reach out to
you if we find the perfect fit!For more insights about Evolent
Health, click on Life At Evolent
(https://www.evolenthealth.com/about-us/life-at-evolent) to learn
more!
Keywords: Evolent Health, Harrisburg , Sr Provider Network Manager - PCP- MSO - FL, Executive , Harrisburg, Pennsylvania
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