Strategic Provider Engagement Director

MetroPlusHealth; New York (NY); On-site; USD 180,000 - 230,000; Full time

Job summary

MetroPlusHealth is seeking a Director of Provider Engagement to lead the Provider Engagement and Provider Relations teams in New York. You will report to the VP of Provider Network Operations and drive alignment, high performance, and world-class engagement with key provider partners.

You will oversee quarterly business reviews, establish engagement strategy, and collaborate with Quality, Risk Adjustment, Clinical Services, and Sales to improve quality, utilization, and financial performance

Qualifications

• Master of Public Administration (MPA) or Master of Public Health (MPH) required.
• 5–7 years in provider network management and value-based healthcare.
• Alternatively, 10 years of relevant experience with equivalent education.
• Strong healthcare and financial data analysis skills; IPAs knowledge.
• Ability to decipher contractual language and communicate clearly.

Responsibilities

• Lead market-level projects and strategies for provider engagement to drive quality, risk adjustment, utilization management, and growth.
• Serve as the quarterback for top provider groups, coordinating QBRs and operational meetings.
• Develop and oversee Provider Engagement functions and key provider partnerships aligned with MetroPlusHealth goals.
• Establish engagement strategy with QBR agendas, content, analytics and aligned goals.
• Oversee Provider Relations for large network hospitals and foster strong partnerships.
• Review provider performance data to identify improvement opportunities and focus areas.
• Collaborate with Quality Management, Risk Adjustment, Clinical Services, Sales and others to improve performance.
• Ensure staff stay current on Federal and State rules and update policies accordingly.
• Produce monthly executive reporting on Provider Engagement activity and progress toward goals.

Skills

Healthcare data analysis

Contract language comprehension

Communication skills

Strategic thinking

Team leadership

Education

MPA/MPH

Job description

MetroPlusHealth is seeking a Director of Provider Engagement to lead the Provider Engagement and Provider Relations teams in New York. You will report to the VP of Provider Network Operations and drive alignment, high performance, and world-class engagement with key provider partners.

You will oversee quarterly business reviews, establish engagement strategy, and collaborate with Quality, Risk Adjustment, Clinical Services, and Sales to improve quality, utilization, and financial performance