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Florida Blue (Blue Cross and Blue Shield of Florida) is Hiring a Provider Partnerships and Collaboration Executive (Northeast Florida) Near Florida, NY
Job DescriptionReporting to the Sr. Director Provider Partnerships & Collaboration, the Provider Partnerships & Collaboration Executive is responsible for creating high integrity relationships with medical providers in a specific region which enables GuideWell and Florida Blue to become the health plan of choice. The outcome of being the ideal partner for our providers will be to improve cost, quality, and service and together grow membership in service to our communities across all lines of businesses. The Provider Partnerships & Collaboration Executive will lead in a highly matrixed environment across multiple internal business teams to provide strategic alignment, business planning, and effective execution of the business plans for all Providers in assigned region for all lines of business. Job Duties Include But Are Not Limited To
Develop trusting relationships with providers and engages with C-Suite level Executives to work together to deliver care that helps people and communities achieve better health
Builds & executes an engagement strategy with all strategic providers in a designated region to: improve clinical quality performance, improve operational performance, improve affordability and improve provider wellness & practice sustainability; all of these strategies will enhance customer experience as well as improve provider experience
Assures all regional strategies tie to enterprise and network departmental goals; develops a regional strategic direction and is accountable for shared P&L results and growth targets including -expansion efforts, clinical performance and cost of healthcare
Responsible for understanding and capitalizing on the regional competitive markets and identifying opportunities for the provider strategy accordingly
Collaborates with all applicable business areas to co-develop and assists in GuideWell and Florida Blue provider strategy
Takes a lead role working with the Provider Engagement Team to enhance relationships with providers
Collaborates with Network Management to understand and ensure there is an aligned network regional strategy
Responsible for understanding and working with the Network Performance Team to drive financial performance (planning, reporting, performance management, practice transformation, contract support, capitation payments, analysis, coding and budgeting with strategic provider partners)
Co-designs and executes the strategic provider experience and desired operational outcomes
Partners with other GuideWell and Florida Blue cross functional teams to ensure that all efforts with a provider are tracked and coordinated to enhance the provider experience
Manages a regional provider strategy to ensure all GuideWell and Florida Blue efforts are aligned with an end-to-end holistic view (people, process and technology)
Readily identifies with the environment in which the strategic provider operates; recognizes and supports strategic provider partner programs
Fosters a culture of innovation and creativity to enable GuideWell and Florida Blue to meet changing market conditions and strategy
Develops and implements robust performance and operational metrics
Works within a team environment
Establishes contacts and enhances relationships with healthcare professionals, including medical societies, advisory groups and community task forces by exhibiting knowledge, technical competency, reliability and professionalism
Identifies opportunities to mentor and coach others to achieve results, and is open to cultural and geographic diversity
Manages time, territory, costs and administrative requirements by effectively planning and carrying out plans to ensure that support activities are achieved at reasonable cost
Job RequirementsRelated Bachelor’s degree or additional related equivalent work experience 6 years related work experience. Experience Details: Healthcare or managed care experience with Providers Relations, Network Management and Operations 3 years direct supervisory/management experience What We OfferAs a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:
Medical, dental, vision, life and global travel health insurance;
Income protection benefits: life insurance, Short- and long-term disability programs;
Leave programs to support personal circumstances;
Retirement Savings Plan includes employer contribution and employer match;
Paid time off, volunteer time off, and 11 holidays
Additional voluntary benefits available; and
A comprehensive wellness program
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $120,000 - $195,000 Typical Annualized Hiring Range: $120,000 - $150,000 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities. About UsAt GuideWell, we are committed to making diversity, equity and inclusion part of everything we do. We believe in hiring people who represent the communities we serve while creating a workplace that encourages a sense of belonging for everyone, no matter who you are or where you come from. From students to former military to seasoned professionals, our family of mission-based companies are stronger because of the unique talents and skills of our employees. We believe everyone’s contribution has the power to help people and communities achieve better health. Find your new team today. About The TeamFlorida Blue, A GuideWell Company, has been providing health insurance to residents of Florida for 75 years. Driven by its mission of helping people and communicating to achieve better health, the company serves more than five million health care members across the state. We are looking for exceptional people who will bring our mission to life and succeed by putting the members first.