Sr Provider Network Manager - PCP- MSO - FL

Company: Evolent Health
Location: Santa Fe
Posted on: January 21, 2023

Job Description:

**Your Future Evolves Here**

New Century Health (NCH) has been transforming the delivery of specialty care and driving radical cost and quality improvement across the member journey for patients with cancer and cardiovascular disease. As part of Evolent Health, we are on a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. If you're looking for a place where your work can be personally and professionally rewarding, don't just join a company with a mission. Join a mission with a company behind it.

**Why We're Worth the Application:**

+ We continue to grow year over year.

+ Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts (https://www.evolenthealth.com/diversity) .

+ Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index making us a best place to work for LGBTQ+ equality.

+ Named to Parity.org's 2020 list of the best companies for women to advance (https://www.evolenthealth.com/about-us/press-releases/8579/evolent-health-named-to-parity.org%E2%80%99s-best-companies-for-women-to-advance-list-2021) .

+ Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.

+ Published an annual DE&I report (https://dev.evolenthealth.com/sites/default/files-public/Evolent%20Health%202020%20DE%26I%20Annual%20Report.pdf) to share our progress on how we're building an equitable workplace.

**What You'll Be Doing:**

**What You'll Be Doing:**

The Sr. Provider Network Manager is primarily responsible for primary care physician IPA and/or MSO engagement which includes performance management, expand NCH's services across other payors contracted with IPA/MSO, and maintaining positive working relationships. This role also serves as the primary liaison between PCP entity and New Century Health's internal departments to address and resolve issues as needed. The Sr. Provider Network Manager conducts provider in-servicing which provides a clear interpretation of NCH's scope and services. Other responsibilities include:

+ Establishes solid relationships with leadership at key IPAs/MSOs.

+ Maintains comprehensive MSO practice profile to include organizational chart, affiliated health plans, corresponding membership by line of business, geographic coverage, and payor delegated administrative functions.

+ Mitigate and address root cause related to leakage incurred with each IPA/MSO.

+ Meets with practice leadership regularly to share NCH network performance results to help inform and drive volume into high performing providers.

+ Works closely with NCH Growth team to further expand NCH services across IPA/MSO payor panel

+ Leads JOCs with key practices to include but not limited to referral patterns, leakage performance, population health measures on respective membership

+ Responsible for all new market implementation activities related to PCP onboarding, including but not limited to client introductory meetings

+ Participate during internal Product and Innovation forums on building PCP facing tools that increase NCH's value while improving performance

**The Experience You'll Need (Required):**

+ Bachelor's degree and/or minimum of 6-9 years relevant work experience

+ Strong background in value based/full risk PCP MSO/IPA arrangements related to Medicare Advantage and other governmental programs

+ Experience in healthcare administration with strong emphasis in Provider Operations and/or Network Development/Provider Contracting strategies

+ Excellent verbal, writing and presentation skills, and interpersonal skills

+ Extremely organized and detail oriented with exceptional follow through skills

+ Ability to multi-task in a fast pace environment; can adapt quickly to change

+ Ability to influence change to improve provider experience

+ Strong knowledge of Microsoft programs (i.e. Word, Excel, SharePoint)

+ Ability to travel as needed (% depends on market)

**Touches (Preferred):**

+ Bilingual English/Spanish preferred

**Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.**

**Technical Requirements:**

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and national law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.

**Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.**

Compensation Range: The minimum salary for this position is $80,000, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.

Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

For more insights about Evolent Health, click on Life At Evolent (https://www.evolenthealth.com/about-us/life-at-evolent) to learn more!

Keywords: Evolent Health, Santa Fe , Sr Provider Network Manager - PCP- MSO - FL, Executive , Santa Fe, New Mexico