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Honolulu, HI | Full Time
$88k-121k (estimate)
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Magellan Health
Honolulu, HI | Full Time
$105k-127k (estimate)
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Magellan Health
Honolulu, HI | Full Time
$105k-127k (estimate)
2 Days Ago
Senior Provider Partnership Manager
Magellan Health Honolulu, HI
$105k-127k (estimate)
Full Time | Hardware & Office Equipment 2 Days Ago
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Magellan Health is Hiring a Senior Provider Partnership Manager Near Honolulu, HI

This position is responsible for building collaborative working relationships with Magellan providers. Responsible to meet with providers on a regular cadence to develop and build collaborative partnerships. Presents performance and quality metrics with strategic providers and highlight actionable insights to drive measurable provider outcomes. Serves as the primary point of contact for assigned providers, resolving issues, and providing education & training on the systems and online tools. Collaborates with internal departments to align and deliver on network goals. Overall goal is to increase provider satisfaction, drive provider quality and performance, and enhance the quality of services provided to Magellan members.
  • Establishes strong relationships and engage with inpatient and outpatient providers, forming collaborative partnerships to drive measurable performance and quality improvements (HEDIS).
  • Shares performance and quality metrics with providers on a quarterly or as needed basis, provide actionable insights and strategies for improvement. Meets with providers face to face, via zoom or Teams.
  • Devises and implements strategies to drive provider performance and enhance quality in alignment with network, clinical and quality goals.
  • Collaborates with Network Contracting team to establish Value Based Payment models with identified providers, oversee and deliver feedback to providers on established VBP metrics quarterly.
  • Represents company at client meetings, community events, conferences, and advocacy groups, is the face for provider community.
  • Acts as liaison between Clinical, Quality, and Network and the provider community, sharing provider feedback to internal groups, identify best practices and drive innovation.
  • Provides education and training to Magellan contracted providers on Magellan systems, policies, requirements, online tools and resources.
  • Participates in internal workgroups to provide direction in proactive development, enhancement of quality and performance metrics, provider tools, and resources.
  • Provides summary and problem specific feedback, analysis, action recommendations to senior management and relevant functional units regarding provider problems, issues, and general concerns impacting working relationships with providers.
  • Collaborates with internal Magellan teams (Clinical, Quality, Network) to implement and drive regional and corporate initiatives.
  • Tracks provider meetings & performance and report to leadership as needed.
  • Other tasks, workgroups, or reports as assigned
ResponsibilitiesOther Job RequirementsBachelor's degree, management or clinical background
Knowledge of managed healthcare principles.
Ability to develop, articulate and communicate strategic plans
Ability to analyze and interpret data and metrics
Demonstrated ability to collaborate with colleagues within and outside department to achieve mutual performance goals.
Excellent communication and leadership skills.
General Job InformationTitleSenior Provider Partnership Manager
Grade26
Work Experience - RequiredHealthcare, Managed Healthcare
Work Experience - PreferredEducation - RequiredBachelor's
Education - PreferredMaster's
License And Certifications - RequiredLicense and Certifications - PreferredSalary RangeSalary Minimum$70,715
Salary Maximum$113,145
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hardware & Office Equipment

SALARY

$105k-127k (estimate)

POST DATE

07/04/2024

EXPIRATION DATE

08/01/2024

WEBSITE

magellanhealth.com

HEADQUARTERS

MARYLAND HEIGHTS, MO

SIZE

7,500 - 15,000

FOUNDED

1969

CEO

REX A CHINN

REVENUE

$3B - $5B

INDUSTRY

Hardware & Office Equipment

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About Magellan Health

Magellan Health is a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. Magellan supports innovative ways of accessing better health through technology, while remaining focused on the critical personal relationships that are necessary to achieve a healthy, vibrant life. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. For more information, visit Mag...ellanHealth.com. Twitter: @MagellanHealth YouTube: YouTube.com/MagellanHealth Corporate Website: MagellanHealth.com Magellan Healthcare Website: Magellanhealthcare.com Magellan Rx Website: MagellanRx.com Thought Leadership Content: MagellanHealthResources.com Insights and Opinions: MagellanHealthInsights.com Provider Portal: MagellanProvider.com Employee Assistance Program Portal: MagellanHealth.com/Member Please do not publicly post personal health information or any other information you wish to keep private, or send such information using the Private Message feature. Your privacy cannot be guaranteed on Twitter. If you have a question or concern, please email us at SocialMedia@MagellanHealth.com. If you are experiencing an emergency, please call 911 immediately. More
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