Director Integrated Provider Partnerships

Job ID: J121280
Company: Highmark Inc
Location: Camp Hill, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Apr 25, 2018

Share:

Description

JOB SUMMARY

This job is responsible for the day to day interactions with the Organization's integrated delivery system partners in the Central and Northeastern PA markets. The incumbent has the primary responsibility for the development and execution of a multi-year post-affiliation/partnership integration strategic plan in support of the Organization's investments in integrated provider partnerships.  Interfaces directly with provider partner executives and operational teams to actively represent the Organization and their interests in the partnership.  Works closely across all aspects of the Organization's business units including the product, provider network, provider relations, sales, operations, reimbursement, analytics and strategy functions and internal steering committees in leading the execution of the partnership. Collaboratively leads the development of new healthcare delivery facilities, including hospitals, ambulatory care centers, and outpatient surgery centers through all phases of ideation, strategic programming, site selection, design, construction management, and go-live readiness.  The incumbent participates directly in physician practice acquisition strategic planning, negotiations, and post-acquisition integration activities in support of the integrated partnership.  Once new provider delivery assets and JV’s are operational, the incumbent engages directly with the operational leadership team of the provider partners to represent the Organization's interest in operating such ventures with a focus towards delivering customer focused  high quality, value based care models in the community.

ESSENTIAL RESPONSIBILITIES

  • Perform management responsibilities including, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.  Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
  • Partner closely with the partner provider c-suite executive team and established shared governance committees to lead the strategy development and execution of the integrated provider partnership business plan that supports the long-term partnership objectives and overall partnership strategy.
  • Develop, execute, and manage the multi-year post-affiliation/partnership business plan and strategy execution in deep collaboration with partner provider team resources and executives.  Lead the Business Development team in the development of the business case, financial modeling, valuation, due diligence, deal structuring and negotiation to deliver executed deals.
  • Lead the identification and assessment of strategic integrated provider partnership opportunities to advance the Organization's near- and long-term goals through partnerships, alliances, physician acquisitions, and other business/asset development activities.
  • Develop and maintain relationships across a broad sphere of influence within the Organization and integrated provider partners, including internal stakeholders, executives and management teams of our provider partners, independent physician practices, and other external contacts to achieve business development and partnership objectives. Represent the Organization as an integrated payer partner of choice at external meetings, conferences, and industry events.
  • Lead cross-functional project deal teams that engage key internal stakeholders and external partners (legal counsel, external experts etc.) to ensure successful partnerships.
  • Manage a portfolio of alliances, monitoring the successful execution of our alliances and partnered programs directly.
  • Lead impasse resolution and serve as direct contact for partner executives as necessary.
  • Other duties as assigned or requested.

EDUCATION

Required

  • Bachelors Degree

Substitutions

  • 6 years of health plan contracting or provider relations experience in lieu of degree


Preferred

  • Master's Degree in Business Administration/Management or Health Administration

EXPERIENCE

Required

  • 7 - 10 years in the Healthcare Industry

To Include

  • 5 - 7 years in Management
  • 3 - 5 years in Business Development or Provider Services

Preferred

  • 3 - 5 years in Strategic Planning
  • 3 - 5 years in Consulting
  • 1 - 3 years in the Health Insurance Industry

LICENSES OR CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • Negotiation
  • Leadership
  • Strategic Thinking
  • Innovation
  • Mentoring
  • Collaboration

Language (other than English)

None

Travel Requirement

None

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position-type

Office-based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Constantly

Works primarily out-of-the office selling products/services (sales employees)

Frequently

Physical work site required 

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

Share:

Interested in working at the Highmark Health enterprise?
Take the first step by joining our Talent Network today!

Join Our Talent Network

Similar Jobs

Provider Enrollment Specialist

Pittsburgh, PA, United States
Provider Services

Provider Enrollment Specialist

Pittsburgh, PA, United States
Provider Services

Physician Relations Manager - Allegheny Clinic

Wexford, PA, United States
Provider Services

Provider Partnerships Consultant

Camp Hill, PA, United States
Provider Services

Provider Enrollment Specialist - PER DIEM

Erie, PA, United States
Provider Services

Reimbursement Economics Consultant

Pittsburgh, PA, United States
Provider Services

Dir Provider Network Dev GHP

Pittsburgh, PA, United States
Provider Services

Senior Provider Contracting Consultant-2

Home, NC, United States
Provider Services

Clinical Transformation Consultant-PCP

Home, PA, United States
Provider Services

Vice President, Clinical & Provider Analytics

Pittsburgh, PA, United States
Provider Services

Clinical Transformation Consultant Specialist-Central PA

Home, PA, United States
Provider Services

Post Acute Network Performance Manager

Pittsburgh, PA, United States
Provider Services

Manager PIM Provider Maintenance

Pittsburgh, PA, United States
Provider Services

Director Integrated Provider Partnerships

Camp Hill, PA, United States
Provider Services

Manager, Network Development

Pittsburgh, PA, United States
Provider Services

Population Health Performance Specialist

Pittsburgh, PA, United States
Provider Services