Director of Provider Engagement/Value Based Contract Specialist

The Director of Provider Engagement is accountable for developing, and executing, a best-in-class provider engagement strategy. This individual is responsible for establishing the operating plan to achieve the strategic goals of all provider engagement activities, including providing oversight of implementation and execution, advising Provider Organizations on risk agreements, securing optimal reimbursement, and driving high quality outcomes. Development and growth of mutually successful, long-term relationships with individual physicians, practices, and health systems to support and improve increased participation in the Vatica program is a core function of this role. Operates with significant independence and minimal supervision.

Responsibilities:

• Formulate and execute a successful provider engagement operational strategy, which leads to the achievement of Vatica’s corporate goals as well as those of its health plan partners.
• Provide leadership that combines broad, strategic vision with a critical eye for optimization of internal operations and the achievement of exceptional results.
• Develop and lead execution of the full spectrum of provider engagement activities from initial onboarding and implementation to ongoing account management; including those designed to improve participation by, and retention of, individual physicians, practices, and health delivery systems.

• Drive FFS and VBC discovery with Vatica Health’s provider network to mitigate risks and develop new opportunities enterprise-wide
• Lead engagement of assigned VBC partnerships and ensure activities result in objectives being successfully achieved.

• Optimize performance through close collaboration with the Payer & Provider Sales, Clinical Operations, Member Engagement and Analytics teams.
• Serve as the point of contact for escalated provider account management matters
• Forecast, monitor, and report key performance metrics (e.g. Provider adoption rates, penetration rates, Incremental value)
• Provide inputs to staffing model and build a cohesive team by establishing clear direction and goals
• Management of staff, including recruiting, performance assessments. Drive strategic initiatives and ensure that the alignment of departmental objectives is congruent with corporate strategy through active participation in corporate strategic planning, budgeting/forecasting and human resource management.

Requirements

Required Skills:

• Bachelor’s degree in Healthcare (or related field) or equivalent work experience. Significant industry experience will be considered in lieu of a bachelor’s degree. MBA or MHA preferred.

• Five, or more, years of experience working with primary care practices and health delivery systems: network development, engagement, and value-based care performance optimization
• Successful track record negotiating physician, hospital, ancillary provider contracts. Strong contract language negotiation skills.
• Participate in the development of management reporting systems to measure track and monitor the performance of the value-based contracts.
• Interpret information contained in the value-based contract or program manual and communicate such to applicable team members. Provide education and support resources for the accurate implementation of the values based contract or program.
• Prepare reports and presentations trends and financial impact.
• Strong relationship and provider engagement/account management skills
• Strong leadership skills including experience building and managing a high-performing team.
• Leadership skills that extend cross-functionally and contribute to driving an exceptional experience for participating providers/practices/health delivery systems
• Results-oriented, capable of clearly translating strategic objectives into actionable processes that drive desired outcomes
• The ability to influence both provider audiences through strong written and verbal communication skills
• Excellent organizational and communication skills
• Familiarity with Commercial, Medicare and Medicaid risk adjustment is preferred.
• Experience working with risk-bearing or large health delivery systems is preferred.
• Travel Required 25%

Benefits

WORKING AT VATICA HEALTH ADVANTAGES

Prosperity

• Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
• Bonus Potential (based on role and is discretiona