Provider Relationship Manager – Network Business Development - Southwestern Health Resources (Finance)

Provider Relationship Manager - Network Business Development Network Business Development Department is looking for top skilled Provider Relationship Manager. Is that you?

Work location: Southwestern Health Resources Headquarters, 1601/1603 Lyndon B. Johnson Freeway, Farmers Branch, TX 75234.

Work environment: Network Business Development Department.

Please note: The Provider Relationship Manager will be an employee of Southwestern Health Resources (SWHR). SWHR is a clinically integrated network formed by Texas Health Resources (THR) and University of Texas Southwestern Medical Center (UTSW).

Work hours: • Full-time, 40 hours per week.

• Monday - Friday, Day shift.

• This is a Hybrid position, requiring onsite workdays during the week, based on department business needs.

• Require travel, approximately 80%, to Provider locations, within the Greater Dallas/Fort Worth Metroplex and surrounding areas, based on department business needs.

• In-person attendance required at department meetings, trainings and/or other department authorized activities, at the above-mentioned address or other locations as directed by the department management.

Organization Highlights Southwestern Health Resources (SWHR) is a patient-centered, clinically integrated network of 29 hospital locations and more than 6,900 physicians and clinicians caring for more than 730,000 patients across 16 counties in North Texas. Blending the strengths of Texas Health Resources and the University of Texas Southwestern Medical Center, SWHR offers an unmatched ability to connect individuals with a full spectrum of nationally preeminent, clinical care. SWHR is the parent of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan providing care to over 12,000 members.

At SWHR, we believe healthcare can be more integrated, accessible and affordable for all. Our purpose: to build a better way to care, together. Our promise: to simplify and empower care, for good.

Here's What You Need Education

• High School Diploma or equivalent with an additional 4 years of experience in lieu of Bachelor's Degree required.
• Bachelor's Degree in Healthcare, Business or related field required.
• Master's Degree in Healthcare, Business, or related field highly preferred.

What You will Do:

Under the direction of the Manager of Network Performance, develop, implement and periodically enhance the provider
performance strategy and network growth plan for assigned regions including but not limited to incorporating primary care
physician feedback into the overall approach, identifying service line and location gaps, and market research. Actively engages stakeholders, including face to face outreach to THPG, UTSW, EPN, and other various private practice clinic employees, specialists and leaders. Collaborate with clinicians to establish and refine workflows that accomplish program and system goals of improving care coordination by reducing costs and increasing quality of care. Coordinate outreach efforts with appropriate parent organization liaison teams and facility/hospital administration. 25%
Recruit, onboard, and launch new clinicians and medical groups into the network including marketing and outreach campaigns
to promote services and clinical programs to the community and existing SWHR provider network to increase awareness,
familiarity, and utilization of new providers. Identifies challenges to quality and cost effective patient care across all service lines and specialties. Seeks out opportunities to engage new specialists, services and facilities. Utilizes market knowledge and multiple data sources to create strategic initiatives and action plans, which positively impact and improve care coordination. Create detailed presentations for leadership that identify opportunity and demonstrate solutions for improved integration and performance in value based care. 25%
Through active engagement and increased accountability, ensures and maintains the compliance of minimum work standards as defined by organizational leadership committees by partnering with various stakeholders and resources both internally and externally. Prepares detailed reports to establish value based care performance data and potential barriers, outlining obstacles and establishing recommendations for improved partnerships. Consistently logs communications with providers, facilities, leadership teams, zone and entity leaders to maintain momentum and follow through for proven results. Create opportunities for primary care providers to engage with service line leaders, post acute facilities, specialists and others to develop and maintain relationships (e.g., inservices, remote sessions, etc); share ideas with other regions to develop a set of best practices to increase connectedness. Actively monitor and ensure physician performance and compliance to network standards including but not limited to total cost of care, quality, network efficiency, risk adjustment, patient experience, and contract related carefully designed metrics. Work with clinicians to understand any challenges, reinforce expectations, facilitate solutions, and increase provider satisfaction to improve overall
performance. 25%
Maintains accurate records of action plans, physician credentialing, and ease of use opportunities, activities and correspondence with all stakeholders. Prepares ad hoc reports as requested by leadership, providers, practice executives, entity and zone leaders. Analyzes effectiveness of integration and impact on improved opportunities for care coordination. Monitor progress with Home Health, ED Admissions, and Pathology in terms of SWHR contracted and/or aligned vendors and facilities and communicate opportunities with SWHR primary care providers and specialists. 25%

EducationH.S. Diploma or Equivalent 4 Years Additional experience in lieu of Bachelor's Degree Req Or
Bachelor's Degree Healthcare, Business, or related field. Req And
Master's Degree Healthcare, Business, or related field. Pref

Experience2 Years Experience in health care, managed care, consulting, sales/growth, services, insurance, or account management (with Bachelor's Degree) Req or
6 Years Experience in health care, managed care, consulting, sales/growth, services, insurance, or account management (without Bachelor's Degree) Req

SkillsExcellent interpersonal and relationship building skills required
Exposure to procedure interpretation and provider networking
Ability to make quick, independent decisions
Mutually beneficial negotiation skills
Attention to detail
Superior verbal and written communication skills
Strong analytic, negotiations and issue resolutions abilities
Proficient customer service and/ or sales experience
Excellent working knowledge of MS office applications ( Word, Excel, Powerpoint, Access)

SupervisionIndividual Contributor

ADA RequirementsExtreme Heat 1-33%
Extreme Cold 1-33%
Extreme Swings in Temperature 1-33%
Extreme Noise 1-33%
Working Outdoors 67% or more
Working Indoors 1-33%
Mechanical Hazards 1-33%
Electrical Hazards 1-33%
Explosive Hazards 1-33%
Fume/Odor Hazards 1-33%
Dust/Mites Hazards 1-33%
Chemical Hazards 1-33%
Toxic Waste Hazards 1-33%
Radiation Hazards 1-33%
Wet Hazards 1-33%
Heights 1-33%
Other Conditions 1-33%

Physical DemandsLight Work

Travel RequirementsLocal 80% Travel to clinics in geographic region and meetings held in greater DFW area