Job Description

Professional, Provider Partnership Liaison625 State St, Schenectady, NY 12305, USA xe2x80xa2 Fishkill, NY 12524, USA xe2x80xa2 Rochester, NY, USA xe2x80xa2 Syracuse, NY, USA xe2x80xa2 Tarrytown, NY, USA xe2x80xa2 Utica, NY, USA xe2x80xa2 Vermont, USA Req #2348Thursday, January 23, 2025At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Provider Partnership Liaison to join #TeamMVP. If you have a passion for building trusting relationships, problem-solving & support and ensuring high-quality patient care this is the opportunity for you.What's in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications you'll bring:

• Bachelor's degree in related field with a health-related, communications or marketing focus desirable
• Minimum of 3 years of relevant work experience in provider liaison engagement and relationship development.
• Promote MVP:

• Serve as ambassadors for the MVP brand experience. Strive to communicate our mission, approach and member-centric capabilities.
• Collaboration:

• Partners with Regional Medical Director(s) in service area to ensure alignment of provider partnership strategies with business objectives.
• Cross-Functional Collaboration: Ability to work closely with team members in other departments such as Network Management, Billing, Operations, Health Management, Legal, and Compliance, to streamline processes and enhance the provider experience.
• Healthcare Industry Knowledge:

• Regulatory Understanding: knowledge of healthcare laws and regulations, including HIPAA, ACA, reimbursement models (e.g., fee-for-service, value-based care), and accreditation standards (e.g., NCQA, URAC).
• Reimbursement Models: Familiarity with different insurance models and how providers are compensated (e.g., capitation, bundled payments, pay-for-performance).
• Data Analysis & Performance Monitoring:

• Provider Performance Metrics: ability to track and assess provider performance using objectives and key results, including quality of care, patient satisfaction, claims processing, and financial performance.
• Reporting and Insights: experience using analytics tools to generate reports that provide actionable insights for leadership, helping drive decision-making and improvements in provider performance.
• Health IT and EHR Systems: Understanding of electronic health records (EHR), telemedicine platforms, and provider portals to facilitate communication and streamline administrative processes.
• Relationship Management:

• Conflict Resolution: Ability to mediate and resolve disputes between healthcare providers and the organization in a way that maintains a positive relationship.
• Provider Engagement: Experience building and maintaining long-term partnerships with healthcare providers, demonstrating empathy, trust, and responsiveness.
• Stakeholder Communication: Skilled in tailoring communication for different stakeholders, including senior management, providers, and external partners, to ensure clarity and alignment.
• Problem-Solving & Critical Thinking:

• Issue Resolution: Strong ability to identify, analyze, and resolve problems related to provider performance, claims, contract disputes, and operational inefficiencies.
• Innovative Solutions: Think creatively about solutions to challenges faced by healthcare providers, such as administrative burdens, reimbursement issues, and care coordination.
• Strong Communication: Ability to articulate the needs and concerns of both providers and the organization.
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Lead planning efforts to assess provider performance and develop improvement initiatives in your designated service market area.
• In partnership with the market Regional Medical Director(s), create plans that incorporate relationships and strategies with systems, primary care practices, and specialists to support quality, risk and medical cost mitigation strategies in the network.
• Work with provider partners to review, implement and track activities to hit key performance targets and achieve network partnership goals.
• Leverage data and analytics insights to lead in-person and remote touchpoints with providers to discuss whole person health and lifestyle medicine service line opportunities, performance, cost management and APM/VBC models.
• In partnership with the market Regional Medical Director(s), implement programs and solutions to improve patient outcomes and experience and reduce healthcare costs; develop workplans to effectively document and project manage any initiatives. Build relationships with systems, primary care practices, and specialists to support quality, risk and medical cost mitigation strategies in the network.
• Provide education and training programs for healthcare providers and practice employees on new programs and initiatives.
• Performance Monitoring & Reporting: track the performance of network providers, ensuring that they meet the organization's quality standards, and financial goals.
• Committee Participation: Serve on various committees throughout the organization and serve as a strong advocate for providers, addressing issues and developing policies.
• Collaborate with cross functional teams to ensure alignment of provider partnership strategies with business objectives.
• Facilitate communication between providers and the organization to improve satisfaction and performance.
• Address concerns and issues providers have with the organization's policies or processes.
• Conflict resolution: address and resolve disputes between the organization and its providers, ensuring a fair and timely resolution.
• Issue Escalation: proactively manage the escalation of critical provider group issues to management, offer suggested solutions and once resolved, drive the execution of any action plans.
• Support contracting and negotiations as needed by the Network Management Team.
• Provide regular reports and insights on provider performance to management.
• Provide ongoing education and support to providers regarding changes in healthcare regulations, billing practices, or organizational policies.
• Support Compliance: by providing education to ensure providers comply with organizational policies, regulatory standards, and healthcare laws.
• Support Growth: by supporting Sales and Field Marketing in service of the organization's growth objectives.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you'll be:

• Reside in one of the following markets: Rochester, Central NY, Schenectady, VT/Northern NY, Fishkill, or Tarrytown
• Hybrid or Virtual (depending on candidate's proximity to an MVP office) w/ the focus on external meetings with providers in the service markets.
• Ability to travel consistently throughout a designated MVP service area with occasional overnights stays.
• Travel requirements 25-50% -- both within designated MVP service market and between markets at MVP offices as needed.

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.We do not request current or historical salary information from candidates.MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com .Other details

• Job Family Network Management & Development
• Pay Type Salary
• Min Hiring Rate $69,383.00
• Max Hiring Rate $83,259.00

MVP Health Care