Manager Provider Relations & Development

Trinity Health; Fresno (CA); On-site; USD 67,000 - 100,000; Full time

Job summary

Trinity Health in Fresno, CA is seeking a Manager Provider Relations & Development to drive physician engagement, recruitment, and contracting across primary, specialty, and ancillary providers. You will work with the IPA, SAMF, and local physician networks to onboard and develop strategic participants in the network.

The role focuses on developing mutually agreed Health Plan to Provider strategies, achieving provider satisfaction and revenue growth.

Qualifications

• Bachelor's degree or equivalent combination of education and experience is required.
• Four (4) years of experience managing care contracting and provider development is required.
• Extensive understanding of physician practice operations and associated performance metrics is required.
• Experience working with physicians and physician groups is required.
• Ability to successfully negotiate, build consensus, and bring complicated deals to closure is required.
• Ability to interpret and convert contract language and identify areas impacting provider operation and implementation is required.
• Strong computer skills with Microsoft Suite are required.
• Excellent communication and interpersonal skills.
• Strong quantitative/analytical skills are required.

Responsibilities

• Drive Physician engagement, recruitment, and contracting of all Providers.
• Collaborate with Independent Physician Association (IPA), Saint Agnes Medical Foundation (SAMF), and other community-based physician networks.
• Onboard and develop providers (primary care, specialty care, and ancillary) in their participation and growth as strategic participants in the network.
• Set goals for contracting target increases and service level improvements; manage measurement of provider engagement and commitment to IPA and CVHP.

Skills

Negotiation

Provider relations

Analytical skills

Communication

Microsoft Office

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Job description

Employment Type: Full time Shift: Description: This position is responsible for driving Physician engagement, recruitment, and contracting of all Providers. The Manager works with the Independent Physician Association (IPA), Saint Agnes Medical Foundation (SAMF), and other community-based physician networks. This position will collaborate with IPA while they onboard and develop providers (primary care, specialty care, and ancillary) in their participation and growth as strategic participants in the network. The Manager Provider Relations & Development will maintain mutually-developed "Health Plan to Provider" approaches and strategies as required to achieve provider and membership satisfaction, driving revenue growth targets. Under the direction of the Director of Operations, this position will set goals for contracting target increases, specific service level improvements, and manage the quantitative and qualitative measurement of Provider engagement and commitment to the IPA and Central Valley Health Plan (CVHP).

Requirements

1. Bachelor's degree or an equivalent combination of education and experience is required.
2. Four (4) years of experience managing care contracting and provider development is required.
3. Extensive understanding of physician practice operations and associated performance metrics is required.
4. Experience working with physicians and physician groups is required.
5. Ability to successfully negotiate, build consensus, and bring complicated deals to closure is required.
6. Ability to interpret and convert contract language and identify areas impacting provider operation and implementation is required.
7. Strong computer skills with Microsoft Suite are required.
8. Excellent communication and interpersonal skills.
9. Strong quantitative/analytical skills are required.

Pay Range ($48.56 - $72.85)

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.