Strategic Health Plans Provider Relations Manager

CHRISTUS Health; Irving (TX); On-site; USD 110,000 - 140,000; Full time

Job summary

CHRISTUS Health in Irving, TX is seeking a Manager Health Plans Provider Relations to lead the Health Plan Network Services team. You will ensure strong partnerships with the provider network, onboarding and educating members, and delivering timely service to meet standards.

You will partner with the Health Plan Network Director, supervise daily workload, oversee reporting, and drive provider engagement and value-based opportunities. Occasional travel and excellent communication are essential.

Qualifications

• Bachelor's degree in a related field is required.
• Proficient in Microsoft Word, PowerPoint, and Excel.
• Analytic ability to organize and prioritize work.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Train all team members on the processes and policies for the Network.
• Offer continuing education to the entire team at least twice a year.
• Implement reporting standards to ensure consistent recording of data and ensure compliance.
• Serve as the point of contact for escalated issues with network providers.
• Facilitate a team environment of growth and development for all team members.
• Develop and maintain collaborative relationships with internal stakeholders.
• Ability to review, manage, and maintain the processes and procedures.
• Manage provider engagement/risk continuum, evaluating potential providers for value-based opportunities.
• Apply network configuration and incentive-based payment models, as appropriate, to improve quality and efficiency.
• Leverage financial and utilization data with physicians and healthcare executives to provide actionable goals and opportunities to reduce expenses for providers with shared savings.
• Responsible for reporting team activities, production, and project completions.
• Oversee Kyrus's reporting as related to the Physician Services team activities.
• Manage monthly 1:1 meetings with each team member.
• Excellent communication and presentation skills.
• Ability to travel occasionally for meetings, team support, and project oversight.

Education

Bachelor's degree in a related field

Tools

Microsoft Word

PowerPoint

Excel

Job description

CHRISTUS Health in Irving, TX is seeking a Manager Health Plans Provider Relations to lead the Health Plan Network Services team. You will ensure strong partnerships with the provider network, onboarding and educating members, and delivering timely service to meet standards.

You will partner with the Health Plan Network Director, supervise daily workload, oversee reporting, and drive provider engagement and value-based opportunities. Occasional travel and excellent communication are essential.