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Sr. Director, Provider Account Management - Key Accounts

Wellvana Health LLC
Brockton, MA Full Time
POSTED ON 3/19/2025
AVAILABLE BEFORE 4/18/2025

Description

Are you the right candidate for this opportunity Make sure to read the full description below.

The Why Behind Wellvana :

The healthcare system isn’t designed for health. We’re designed to change that. We’re Wellvana, and we help doctors deliver life-changing healthcare.

Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.

Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing.

Named a 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.

Clarity on the Role :

We are seeking a Senior Director, Provider Account Management for Key Accounts to manage external relationships with affiliated primary care practices. Reporting to the VP, Provider Account Management, the Senior Director will manage the P&L performance for Key Account affiliated primary care practices. This leader is responsible for the successful onboarding and implementation of all assigned practices along with ongoing account management to achieve stated objectives and key metrics. This position requires a leader with strong knowledge of physician practices and operations to effectively build and manage relationships. This role will oversee a dedicated team of account management team members supporting the Key Account practices and will also be responsible for directly supporting a subset of these practices. This leader must be able to successfully motivate and hold internal teams and Key Account practices accountable to efficiently deliver priority initiatives, achieve performance targets and meet retention goals. You will need strong analytical skills to manage key business drivers and KPIs and must be able to clearly articulate the financial mechanics of value-based care contracts. This role requires superior communication skills to interact with internal and external team members at all levels and to effectively communicate provider feedback, perspectives and insights about future needs and growth opportunities across Wellvana and to executive leadership.

What's Expected :

  • Strategy Development : Develop and execute a comprehensive strategy to successfully deploy and manage Wellvana value-based care initiatives with Key Account affiliated primary care practice relationships.
  • Value Based Care Expertise : Collaborate with key stakeholders, including executive leadership, clinical documentation, analytics, finance, and clinical teams, to define and communicate the organization’s vision and goals for value-based care.
  • Partnership Development : Foster and cultivate strategic partnerships with Key Account affiliated primary care practices and other partners to facilitate successful participation in value-based care models. Collaborate with internal and external stakeholders to establish mutually beneficial contractual agreements and quality improvement initiatives.
  • Provider Account Management Team Leadership : Provide leadership, guidance, and mentorship to provider account management team members. Develop performance targets, priority initiatives, execution plans, visit schedules, and hold team members accountable to results.
  • Partner Onboarding and Implementation : Lead the development, implementation, and ongoing management of value-based care programs for physicians, ensuring compliance with regulatory requirements and contractual obligations.
  • P&L Ownership and Performance Management : Design and implement performance measurement frameworks, quality improvement initiatives, and data analytics strategies to track and assess program effectiveness and outcomes.
  • Performance Monitoring and Reporting : Establish robust monitoring and reporting mechanisms to track key performance indicators, financial metrics, and clinical outcomes related to value-based care programs.
  • Change Management and Physician Engagement : Drive organizational change efforts related to value-based care, including cultural shifts, process redesign, and the adoption of new care delivery models.
  • Collaboration and Leadership : Collaborate with cross-functional teams, including growth, clinical, operational, financial / actuarial, and constituent experience stakeholders, to drive the adoption of Wellvana services and solutions.
  • Regulatory Compliance : Stay abreast of evolving regulatory requirements related to program offerings (Medicare Advantage, ACO REACH, etc.), ensuring compliance with relevant laws and regulations.
  • Growth Strategies : Support growth efforts in the region, working closely with business development partners to deliver reference clients.
  • Complete practice, or function, special projects as assigned by leadership.

Requirements

  • Integrity : The right way is the only way.
  • Dependability : You do what you say you’re going to do.
  • Advocacy : You fight for the best possible outcome for providers and their patients.
  • Clarity : You make it all understandable.
  • Education & Experience

  • Education – Masters of Business Administration, Masters of Public Health, Masters of Health Administration.
  • 8 years of work experience at payers, health systems, MSO or VBC related companies.
  • 5 years experience leading teams, particularly a national account management organization.
  • Proven experience managing a P&L and achieving performance targets.
  • Demonstrated expertise in account management and ability to influence external partners at all levels.
  • Experience in VBC programs including ACO / MA / commercial programs.
  • Strong knowledge of healthcare tools, platforms and solutions, including electronic health records (EHRs), revenue cycle management, and other relevant capabilities.
  • Proven success engaging with external partners and clinical organizations to improve patient experience and navigation.
  • Strong problem-solving and critical thinking abilities.
  • Proven track record of driving successful initiatives and achieving measurable outcomes in population health management and value-based care.
  • Intense intellectual curiosity and an ability to view problems with a fresh perspective.
  • Excellent ability to succinctly summarize research, data, insights into cohesive summaries for leadership consumption and decision making.
  • Expertise with Microsoft Office applications (Word, Excel, Powerpoint, etc.).
  • Ability to learn department and job specific software solutions and programs.
  • High attention to detail and a high degree of accuracy.
  • Superior communication skills both written and oral.
  • Strong leadership skills with the ability to effectively deploy business strategies.
  • Ability to recruit and lead a diverse team to execute on a range of operational strategies.
  • Ability to hold teams accountable to productivity, quality and financial targets.
  • Travel 50% of the time, at times approaching 100%, depending on critical initiatives and ACO activity timelines.
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