CenterWell Pharmacy, Inc. is looking for a Director, Provider Engagement to develop and nurture strategic partnerships with physicians, providers, and healthcare systems. In this role, you’ll be responsible for the health plan/provider relationship, driving improvements in financial performance, clinical quality, and operational efficiency.
What You'll Do
- Develop and grow positive, long-term relationships with physicians, providers, and healthcare systems.
- Support and improve financial and quality performance within the contracted working relationship with the health plan.
- Represent the scope of the health plan/provider relationship across financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, and operational improvements.
- Make decisions related to the implementation of new or updated programs and large-scale projects.
- Implement strategic plans, drive goals and objectives, and improve performance.
- Provide input into the function's strategy.
- Foster growth and development among the Provider Engagement Team.
What We're Looking For
- Bachelor's Degree.
- 5 or more years of Value Based Care experience.
- Proficiency in quality improvement processes and analyzing and interpreting financial trends.
- 5 or more years of leadership experience (e.g., as a Subject Matter Expert or mentor).
- Strong relationship building skills.
- Excellent oral and written communication skills.
- Comprehensive knowledge of all Microsoft Office applications.
- Ability to travel as needed.
Nice to Have
- Master's Degree.
- Prior work experience in the health solutions industry with demonstrated success directing and leading teams.
- Living within the region (TN, AL, MS, LA, SW VA).
Technical Stack
- Microsoft Office applications
Team & Environment
You will lead and develop the Provider Engagement Team.
Benefits & Compensation
- Salary range: $138,900 - $191,000 per year.
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan.
- Comprehensive time off, including paid time off, company and personal holidays, volunteer time off, and paid parental and caregiver leave.
- Short-term and long-term disability insurance.
- Life insurance.
Work Mode
This is a remote position open to candidates across the United States.
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status.
