Job Information
Magellan Health Services Senior Provider Partnership Manager in Honolulu, Hawaii
This position is responsible for building collaborative working relationships with Magellan providers. Responsible to meet with providers on a regular cadence to develop and build collaborative partnerships. Presents performance and quality metrics with strategic providers and highlight actionable insights to drive measurable provider outcomes. Serves as the primary point of contact for assigned providers, resolving issues, and providing education & training on the systems and online tools. Collaborates with internal departments to align and deliver on network goals. Overall goal is to increase provider satisfaction, drive provider quality and performance, and enhance the quality of services provided to Magellan members.
Establishes strong relationships and engage with inpatient and outpatient providers, forming collaborative partnerships to drive measurable performance and quality improvements (HEDIS).
Shares performance and quality metrics with providers on a quarterly or as needed basis, provide actionable insights and strategies for improvement. Meets with providers face to face, via zoom or Teams.
Devises and implements strategies to drive provider performance and enhance quality in alignment with network, clinical and quality goals.
Collaborates with Network Contracting team to establish Value Based Payment models with identified providers, oversee and deliver feedback to providers on established VBP metrics quarterly.
Represents company at client meetings, community events, conferences, and advocacy groups, is the face for provider community.
Acts as liaison between Clinical, Quality, and Network and the provider community, sharing provider feedback to internal groups, identify best practices and drive innovation.
Provides education and training to Magellan contracted providers on Magellan systems, policies, requirements, online tools and resources.
Participates in internal workgroups to provide direction in proactive development, enhancement of quality and performance metrics, provider tools, and resources.
Provides summary and problem specific feedback, analysis, action recommendations to senior management and relevant functional units regarding provider problems, issues, and general concerns impacting working relationships with providers.
Collaborates with internal Magellan teams (Clinical, Quality, Network) to implement and drive regional and corporate initiatives.
Tracks provider meetings & performance and report to leadership as needed.
Other tasks, workgroups, or reports as assigned
Other Job Requirements
Responsibilities
Bachelor's degree, management or clinical background
Knowledge of managed healthcare principles.
Ability to develop, articulate and communicate strategic plans
Ability to analyze and interpret data and metrics
Demonstrated ability to collaborate with colleagues within and outside department to achieve mutual performance goals.
Excellent communication and leadership skills.
General Job Information
Title
Senior Provider Partnership Manager
Grade
26
Work Experience - Required
Healthcare, Managed Healthcare
Work Experience - Preferred
Education - Required
Bachelor's
Education - Preferred
Master's
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$70,715
Salary Maximum:
$113,145
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.
Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.
Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .
Warning: Employment Scam
It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. “Interviews” are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.
Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.
If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911