Director, Market Success (Affiliate Providers) - NeueHealth
Doral, FL
About the Job
We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
The Director of Market Success for Affiliate Providers (Southeast Region) is responsible for managing the performance of NeueHealth's affiliate primary care providers participating in the value-based contracts associated with NeueHealth's Value Services Organization (VSO), which includes Medicare ACOs, Individual and Family Plans (IFP), Medicare Advantage, and Medicaid. Under the direction of the VP of Government Programs and Business Development, the Director is responsible for engaging and retaining physician practices, implementing quality improvement and cost savings initiatives, tracking and managing KPIs by line of business, and ensuring regulatory and compliance requirements are met. Relationship management with internal and external stakeholders, including physicians, practice managers, care managers, and payors is a fundamental function of this role.
The Director will serve as a key member of the leadership team responsible for driving progress towards quality and cost goals and the overall profitability of each contract. This is a high visibility role that offers significant responsibility with opportunity for career growth.
This is a hybrid position based at our headquarters in Doral, FL with travel throughout the market as needed.
ROLE RESPONSIBILITIES
The Director, Market Success job description is intended to point out major responsibilities within the role, but it is not limited to these items.
Key Responsibilities:
• Day to day leadership and performance management of affiliated practices.
• Implements an engagement strategy to build, grow, and sustain relationships with physician leaders, and leveraging practice relationships to engage, implement, and sustain ACO/VSO priorities
• Conducts analyses, identifying areas of opportunity, implementing process improvement and best practices, and providing recommendations to Market Performance and Operations leadership
• Analyzes data to develop focused performance improvement initiatives; measuring progress and outcomes, as well as helping implement interventions where applicable
• Communicates with internal and external stakeholders using project plans, status reports, and dashboards to manage cost and quality contract performance
• Plans and facilitates internal and external stakeholder meetings using standard meeting management tools e.g. agendas, meeting roles, ground rules, minutes, action item tracking) including support of meeting logistics for JOCs, ACO Governing Bodies, and committees.
• In collaboration with the NeueHealth ACO and analytics teams, facilitates clinical data acquisition, reporting, and workflow development in support of quality measure and risk adjustment and coding improvement.
• Develops a deep understanding of regional stakeholder needs, regional healthcare landscape and strategic market intelligence to guide operational and growth strategy, deploy initiatives, and identify the operational drivers of success
• Collaborates with ACO team members and local medical directors/physician champions to ensure progress towards ACO, regional network, practice, and provider improvement goals
• Responsible for the proactive and reactive regulatory management of all applicable programs and policies related to payer programs enrolled or evaluating.
SUPERVISORY RESPONSIBILITIES
• This position may oversee a team of one or more Market Success managers and/or associates in the region
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
• Bachelor's Degree, Master's Degree Preferred
• Consulting and strategy experience a plus
• 8+ years of related experience working with value-based primary care groups and a proven track record of creating, maintaining, and enhancing customer relationships and communicating effectively with senior management.
• Significant experience working with ACOs and primary care medical groups in deploying their shift to value-based care
• Strong understanding of and familiarity with the relevant market players and the payer and healthcare landscape
PROFESSIONAL COMPETENCIES
• Work effectively in a matrixed environment and comfort with shared accountability
• Strong collaboration skills to partner closely with other NeueHealth leaders to design and implement programs to maintain positive relationships between the health plan, physicians, hospitals, and practice managers
• Excellent multitasking and prioritization skills with a proven ability to manage multiple projects in parallel
• Leadership and relationship skills that extend cross-functionally, spanning operations, clinical, provider relations
• Ability to effectively engage providers
• Results oriented, capable of clearly translating strategic objectives into implementable processes that drive outcomes.
• Bias toward action; sense of urgency, self-initiative, and ownership of work.
• Inspirational, respectful and effective team leadership.
• Superb written and verbal communication skills with an ability to effectively collaborate with internal and external executive leadership