Your Future Evolves HereEvolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.Join Evolent for the mission. Stay for the culture.What You’ll Be Doing:Put your passion where it meets purpose! The Sr. Provider Network Manager is primarily responsible for primary care physician IPA and/or MSO engagement which includes performance management, expand Evolent’s services across other payors contracted with IPA/MSO, and maintaining positive working relationships. This role also serves as the primary liaison between PCP entity and Evolent’s internal departments to address and resolve issues as needed. The Sr. Provider Network Manager conducts provider in-servicing which provides a clear interpretation of Evolent’s scope and services.Collaboration Opportunities:
Establish solid relationships with leadership at key IPAs/MSOs
Maintain comprehensive MSO practice profile to include organizational chart, affiliated health plans, corresponding membership by line of business, geographic coverage, and payor delegated administrative functions
Mitigate and address root cause related to leakage incurred with each IPA/MSO
Meet with practice leadership regularly to share Evolent network performance results to help inform and drive volume into high performing providers
Work closely with the Growth team to further expand services across IPA/MSO payor panell
Lead JOCs with key practices to include but not limited to referral patterns, leakage performance, population health measures on respective membership
Responsible for all new market implementation activities related to PCP onboarding, including but not limited to client introductory meetings
Participate during internal Product and Innovation forums on building PCP facing tools that increase Evolent’s value while improving performance
Qualifications – Required and Preferred:
Bachelor’s degree and/or minimum of 6-9 years relevant work experience (Required)
Must reside in Florida (Required)
Strong background in value based/full risk PCP MSO/IPA arrangements related to Medicare Advantage and other governmental programs (Required)
Experience in healthcare administration with strong emphasis in Provider Operations and/or Network Development/Provider Contracting strategies (Required)
Excellent verbal, writing and presentation skills, and interpersonal skills (Required)
Extremely organized and detail oriented with exceptional follow through skills (Required)
Ability to multi-task in a fast-paced environment; can adapt quickly to change (Required)
Ability to influence change to improve provider experience (Required)
Strong knowledge of Microsoft programs (i.e. Word, Excel, SharePoint) (Required)
Ability to travel as needed (% depends on market) (Required)
Bilingual in English and Spanish (Preferred)
Technical Requirements:We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.The expected base salary/wage range for this position is $80,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!For more insights about Evolent Health, click on Life At Evolent (https://www.evolent.com/) to learn more!
