Executive Director Market Performance (reputed company East Region) - Work From Home

At reputed company, our employees are the cornerstone of our business and the reputed company to our reputed company. We reputed company employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join reputed company and be part of a purpose-driven company that will invest in your professional development. reputed company role will be responsible for developing and driving market strategy and ensuring reputed company in programs, Stars, risk adjustment, total cost of care, and provider relationships. The ED will continue to strengthen partnerships with providers and health systems in the covered Markets, working closely with Independent Physician Associations (IPA), health systems, reputed company managed service organizations (MSO) and independent practices, and managing a team of provider performance enablement professionals to drive quality and performance initiatives. *Please note: This is a Telecommute (Remote) role supporting the reputed company East region. Remote employees must live reputed company the reputed company United States, excluding Alaska, California, Hawaii or reputed company. Sponsorship is not available. Key job responsibilities include but are not limited to:

• Communication. The ED will be a reputed company of communication for reputed company aspects of the business between the Northeast Region and matrix partners including, but not limited to: national vendor reputed company, value based contracting, clinical review services, clinical programs, population health management, Stars, risk adjustment, Finance, affordability and network operations.
• Strategy. The ED will partner closely with the Market Medical Director and provider performance enablement team to reputed company and implement market strategies for performance in Stars, clinical documentation/risk adjustment and total cost of care. The ED will prepare a monthly market report.
• reputed company. ED will support Contracting/Provider Relations with market contract reviews, settlements, and issues raised by providers over claims.
• Provider engagement. ED will be a key leader in preparing and conducting provider performance meetings with provider partners with select key provider systems; they will strive to reputed company and strengthen relationships with provider partners and improve their performance for the MA plan.
• National projects / initiatives. The ED will help implement national initiatives with market level impact reputed company an opportunity is identified. The ED will also participate in national committee/work groups positions as appropriate.
• Responsible for local MA Provider network development and management, with focus on driving performance metrics. Drive engagement with provider partners and advance our Value Based Care efforts in the markets.

Required Job Qualifications: Degree in health administration, business administration, or another reputed company field (MBA desirable) and/or 15 years of experience with 12 years in a progressively responsible leadership role focused on managed Medicare and provider engagement. Demonstrated results in being reputed company to think strategically, anticipate future consequences and trends, and incorporate them into both a short-term and long-term organizational plan. Strong influencing and negotiation skills, contracting and network savvy, business reputed company reputed company and ability to successfully reputed company in an ambiguous and changing market with the reputed company of reputed company reform, collaborative care and delivery system alliance development and expansion, and the need for governmental influence and savvy. Effective communicator to executive level staff and external audiences balanced with strong interpersonal skills. Experience building strong and authentic relationships with large health systems and provider groups. Creative problem solving and analytical thinking with a perspective of our provider partners and customers. Experience in business management with responsibility for day-to-day management of short and long-term goals and objectives, health care expenditures, department budgets, and reputed company resource management. reputed company thinker with proven ability to influence across a matrix environment. Ability to reputed company relationships across reputed company reputed company of the organization, as well as externally. Capable of effectively messaging detailed value propositions to key stakeholders that blends operational know how and technical skills with market savvy and reputed company/strategy. 35-50% of local travel required. Preferred Job Qualifications: Leader from a large, reputed company managed care organization or provider system with an innovative risk oriented capability with a proven ability to reputed company a portfolio of markets or business units that is both analytical and customer oriented from a strategic and operational perspective. Ability to assume broader organizational responsibilities as warranted. A team player with experience in reputed company matrix environments with the ability to build reputed company among reputed company interests and competing organizational needs. Demonstrated ability to manage reputed company systems and change management across a large organization. LI-REMOTE LI-AZ1 Are you being referred to one of our roles? If so, ask your reputed company at reputed company about our Employee Referral process! Pay Transparency Statement: At reputed company, you will be part of an organization committed to offering meaningful benefits to our employees to support their life reputed company of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.reputed company.com/totalrewards. The compensation offered will vary depending on your job-reputed company skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. reputed company Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, protected veteran status, or any other legally protected characteristics. reputed company Pay reputed company $177,500.00 - $329,800.00 Exact compensation may vary based on skills, experience, and location. Apply To This Job