The Director represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.
Required Qualifications
5 years provider relationship experience
5 years Provider Contracting
5 years of management experience
Bachelor's Degree
Working experience in California delegated market.
Strong relationship building skills
Excellent communication skills, both oral and written
Comprehensive knowledge of all Microsoft Office applications
Ability to travel as needed
Preferred Qualifications
Master's Degree
Prior work experience in the health solutions industry with demonstrated success directing and leading teams
Proficiency in quality improvement processes, analyzing and interpreting financial trends
Additional Information
Requires 50% travel
Internally this job is referenced as Director, Provider Engagement
Employer job 
90 Day Old Job 
