*This is a Southern Florida Hybrid Home/Office role*
The Director, Partner Practice Engagement develops and grows positive, long-term relationships with physicians, clinicians and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Director, Partner Practice Engagement requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
The Director, Partner Practice Engagement represents the scope of health plan/practice relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to practice and clinician performance, patient experience, market growth, practice and clinician experience and operational excellence. Decisions are typically related to the development and implementation of new/updated programs or large-scale projects; development of market level operational plans; implementation of strategic plans, performance management of partner practices and market team. Provides input into functions strategy.
Responsibilities
Manage market engagement teams to drive outcomes to achieving all revenue and quality/clinical performance targets.
Drive a consistent service experience with the MSO across the engagement lifecycle, from first communication with the practice.
Lead the affiliate market team with an eye to develop and maintain a strong team culture, uphold company values and create strong team engagement.
Guide the team in developing individual practice action plans to optimize performance and operations.
Cultivate in-depth relationships with practices and regional partners through regular status calls and in-person meetings to set priorities, report performance results, monitor utilization and costs and identify opportunities for growth and savings.
Lead the on-boarding and implementation of new practices and plan for success.
Partner with MSO growth leadership to support local expansion of the affiliate network with a strong service offering to all customer segments.
Serve as a bridge between the market team and MSO leadership to communicate concerns, needs and feedback.
Provide regular performance reporting to MSO Operations leadership
Achieve high partner practice retention and satisfaction
Perform other duties and special projects as requested by the leadership team.
Required Qualifications
Bachelor’s degree
A minimum of eight years of progressive experience in provider network management, provider contracting, quality
A minimum of five years formal leadership experience; overseeing multiple direct reports
Prior work experience in value-based care; practice management and/or payer contracting with demonstrated success directing and leading teams
Proven ability to cultivate relationships and create partnership opportunities with health plans and community organizations
Extensive knowledge of local market provider landscape
Outcomes focused individual that thrives on outperforming against quantifiable goals
Experience working across a segmented business to align partners towards a common goal
Strong verbal and written communication skills with the ability to comfortably and effectively communicate with a variety of internal & external business leaders
Comprehensive knowledge of all Microsoft Office applications
Preferred Qualifications
Master's Degree
Proficiency in quality improvement science, techniques / processes, analyzing and interpreting financial and clinical trends
Additional Information
Incumbent must reside in Florida
Statewide travel required to Broward, Dade, Treasure Coast, and Palm Beach markets; Estimating <40% travel, weekly based market needs
Quarterly travel outside of primary South Florida markets
Work at Home Statement
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Driving Statement
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and must carry insurance in accordance with the state minimum required limits, or $25,000/$25,000/10,000 whichever is higher.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.