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Director, Market Success (Affiliate Providers)

NeueHealthSan Francisco, California, United StatesOnsite
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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 (Western 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 work from home position based in the San Francisco Bay Area 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 leadershipFor individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position.

Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $143,000-$214,000 Annually.Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

This job is no longer open

Life at NeueHealth

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, NeueHealth helps to make healthcare accessible and affordable for all populations across the ACA Marketplace, Medicare, and Medicaid.\n\nNeueHealth currently serves more than 500,000 health consumers and partners with more than 3,000 affiliated providers across the country. NeueHealth consists of two segments, NeueCare and NeueSolutions, each focused on creating a more seamless, coordinated care experience that maximizes value for health consumers, providers, and payors. \n\nNeueCare delivers value-driven healthcare to health consumers across the ACA Marketplace, Medicare, and Medicaid through owned clinics and partnerships with affiliated providers across the country. NeueCare takes a consumer-centric approach, developing a true relationship with patients early in their healthcare journey to deliver a high-quality, personalized care experience.\n\nNeueSolutions enables independent providers and medical groups to succeed in performance-based arrangements through deep financial alignment, customized population health tools, and strong partnerships with leading health plans and government programs, including participation in the Centers for Medicare and Medicaid Innovation’s (“CMMI”) ACO Realizing Equity, Access, and Community Health (REACH) program.
Thrive Here & What We Value1. Valuedriven approach to healthcare2. Seamless, consumer-centric care experience maximizing value across ACA Marketplace, Medicare, Medicaid3. Commitment to NeueHealth consumers and communities4. Diverse employee group with equal opportunity employment5. Value-driven healthcare accessible and affordable for all populations6. Unique care model offering salary guarantee and reduced administrative burden7. Work/life balance, physician wellbeing through Value-Based Care8. Continuous quality improvement initiatives9. Patient confidentiality respected10. Compassionate work environment
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