Provider Relationship Manager - Southwestern Health Resources

Southwestern Health Resources; Dallas (TX); Hybrid; USD 85,000 - 110,000; Full time

Job summary

Southwestern Health Resources is seeking a Provider Relationship Manager to drive network performance and growth across assigned regions. You will engage clinicians, coordinate care workflows, and lead outreach to providers to expand the SWHR network.

The role emphasizes collaboration with multiple stakeholders, market research, and ensuring quality and cost-effective patient care while maintaining compliance with standards.

Qualifications

• Requires strong interpersonal and relationship-building abilities.
• Experience with provider networking and client outreach.
• Ability to make quick, independent decisions and negotiate effectively.
• Attention to detail and strong written communication.
• Proficiency in MS Office applications (Word, Excel, PowerPoint, Access).

Responsibilities

• Develop and implement provider performance strategy and growth plans.
• Engage stakeholders across THPG, UTSW, EPN, CAP and clinics.
• Collaborate with clinicians to refine workflows for better care coordination.
• Recruit onboarding and launch of new clinicians and groups into the network.
• Prepare leadership presentations with opportunities and solutions for improved integration.

Skills

Interpersonal skills

Relationship building

Provider networking

Decision making

Negotiation skills

Attention to detail

Verbal and written communication

Analytical skills

Customer service experience

MS Office proficiency

Education

H.S. Diploma or Equivalent

Bachelor's Degree Healthcare/Business/related

Master's Degree Healthcare/Business/related (preferred)

Job description

Provider Relationship Manager - Southwestern Health Resources

Provider Relationship Manager - Southwestern Health Resources

Southwestern Health Resources is looking for a highly skilledProvider Relationship Manager. Is that you?

Work Hours:Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights:

• Hybrid Position
• Gain a sense of accomplishment by contributing to a teamwork environment.
• Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
• Contribute and work on a cross functional team

What You Will Do:

Under the direction of the Manager of Network Performance, develop, implement and periodically enhance the provider
performance strategy and network growth plan for assigned regions including but not limited to incorporating primary care
physician feedback into the overall approach, identifying service line and location gaps, and market research. Actively engages stakeholders, including face to face outreach to THPG, UTSW, EPN, CAP, and other various private practice clinic employees, specialists and leaders. Collaborate with clinicians to establish and refine workflows that accomplish program and system goals of improving care coordination by reducing costs and increasing quality of care. Coordinate outreach efforts with appropriate parent organization liaison teams and facility/hospital administration. 25%
Recruit, onboard, and launch new clinicians and medical groups into the network including marketing and outreach campaigns
to promote services and clinical programs to the community and existing SWHR provider network to increase awareness,
familiarity, and utilization of new providers. Identifies challenges to quality and cost effective patient care across all service lines and specialties. Seeks out opportunities to engage new specialists, services and facilities. Utilizes market knowledge and multiple data sources to create strategic initiatives and action plans, which positively impact and improve care coordination. Create detailed presentations for leadership that identify opportunity and demonstrate solutions for improved integration and performance in value based care. 25%
Through active engagement and increased accountability, ensures and maintains the compliance of minimum work standards as defined by organizational leadership committees by partnering with various stakeholders and resources both internally and externally. Prepares detailed reports to establish value based care performance data and potential barriers, outlining obstacles and establishing recommendations for improved partnerships. Consistently logs communications with providers, facilities, leadership teams, zone and entity leaders to maintain momentum and follow through for proven results. Create opportunities for primary care providers to engage with service line leaders, post acute facilities, specialists and others to develop and maintain relationships (e.g., inservices, remote sessions, etc); share ideas with other regions to develop a set of best practices to increase connectedness. Actively monitor and ensure physician performance and compliance to network standards including but not limited to total cost of care, quality, network efficiency, risk adjustment, patient experience, and contract related carefully designed metrics. Work with clinicians to understand any challenges, reinforce expectations, facilitate solutions, and increase provider satisfaction to improve overall
performance. 25%
Maintains accurate records of action plans, physician credentialing, and ease of use opportunities, activities and correspondence with all stakeholders. Prepares ad hoc reports as requested by leadership, providers, practice executives, entity and zone leaders. Analyzes effectiveness of integration and impact on improved opportunities for care coordination. Monitor progress with Home Health, ED Admissions, and Pathology in terms of SWHR contracted and/or aligned vendors and facilities and communicate opportunities with SWHR primary care providers and specialists. 25%

What You Need:

Education
H.S. Diploma or Equivalent 4 Years Additional experience in lieu of Bachelor's Degree Req Or
Bachelor's Degree Healthcare, Business, or related field. Req And
Master's Degree Healthcare, Business, or related field. Pref
Experience

Experience
2 Years Experience in health care, managed care, consulting, sales/growth, services, insurance, or account management (with Bachelor's Degree) Req or
6 Years Experience in health care, managed care, consulting, sales/growth, services, insurance, or account management (without Bachelor's Degree) Req

Skills
Excellent interpersonal and relationship building skills required
Exposure to procedure interpretation and provider networking
Ability to make quick, independent decisions
Mutually beneficial negotiation skills
Attention to detail
Superior verbal and written communication skills
Strong analytic, negotiations and issue resolutions abilities
Proficient customer service and/ or sales experience
Excellent working knowledge of MS office applications ( Word, Excel, Powerpoint, Access)

Supervision
Individual Contributor

ADA Requirements
Extreme Heat 1-33%
Extreme Cold 1-33%
Extreme Swings in Temperature 1-33%
Extreme Noise 1-33%
Working Outdoors 67% or more
Working Indoors 1-33%
Mechanical Hazards 1-33%
Electrical Hazards 1-33%
Explosive Hazards 1-33%
Fume/Odor Hazards 1-33%
Dust/Mites Hazards 1-33%
Chemical Hazards 1-33%
Toxic Waste Hazards 1-33%
Radiation Hazards 1-33%
Wet Hazards 1-33%
Heights 1-33%
Other Conditions 1-33%

Physical Demands
Light Work

Travel Requirements
Local 80% Travel to clinics in geographic region and meetings held in greater DFW area

Additional Information

• Job Field: Clerical/Admin
• Shift: Day Job
• Schedule: Full-time

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