VP, Provider Relations in Boston, MA at Beacon Health Options

Date Posted: 4/16/2018

Job Snapshot

Job Description

General Summary and Mission

Support and execute provider relations aspects of the provider strategy for existing business as set forth by Operations and Partnerships leadership for all of Beacon’s Divisions/Regions. Direct provider relations and contracting activities to maintain and enhance each Region’s provider network for existing clients. This person will navigate Beacon’s matrix structure to engage, coordinate and support cross-functional Beacon stakeholders.

Duties and Responsibilities

  • Partner with Regional Provider Strategy and Operations Leadership to develop execution plans for each Region’s provider strategy.
  • Serve as the primary escalation point for Regional Leadership on provider relations issues.
  • In collaboration with SVP of Network Management and VP of Contracting, establish delineation between contracting and provider relations to create new separately operating teams and assure application of delineation.
  • Launch a process improvement strategy which identifies provider satisfaction impacts, root cause of issues, and action steps to implement and execute upon, resulting in shorter provider inquiry response times, improved employee engagement, and higher provider satisfaction.
  • Direct Provider Relations leadership to assure activities are performed effectively and support the Region’s network strategy, including meeting financial targets.
  • Act as senior point of contact to address escalated provider relations complaints, issues and concerns.
  • Effectively lead the Provider Relations team as evidenced by provider, internal customer and client satisfaction, compliance with internal, client, regulatory and accreditation standards, successful audits, and employee satisfaction and engagement.
  • Support, participate in and lead the Network Management Department’s process improvement and transformational initiatives to drive completion and successful outcomes.
  • Develop strong provider and client relationships built on trust and collaboration. Manage and balance Beacon and provider expectations.
  • Collaborate with the Network Development team to transition new business to ongoing operations.
  • Meet or exceed administrative budget targets and rate contracting targets.
  • Act as liaison and maintain productive working relationships with all Beacon departments.
  • Hire, manage and develop a high-performing team.
  • Other duties as assigned.

Requirements and Qualifications:

  • Bachelor’s degree required
  • Ten-twelve (10-12) years of progressively responsible professional experience, with at least three (3) of those years with a client-facing role
  • Three (3) years of provider relations experience
  • Three-five (3-5) years healthcare payor (including managed care) experience preferred
  • 2+ years of enterprise-wise program management experience
  • Experience and comfort with financial model and detailed data analysis
  • Competencies and abilities:
  • Analytical and problem solving ability
  • Interpersonal communication skills
  • Verbal and written communication skills
  • Group presentation and public speaking skills
  • Collaboration and a team-oriented work philosophy
  • Accountable and decisive
  • Organized and panful
  • Transformative and proactive
  • Detail-oriented

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Beacon Health Strategies, a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled