Sr Director Provider Relations
$175,000–$200,000 year
HybridHenderson, Nevada, United States
Job Summary
Lead strategic provider relationship management across P3 Health Partners' markets, developing engagement strategies that strengthen partnerships with physicians, hospitals, and health systems. Serve as the executive point of contact for complex operational, reimbursement, and contractual issues, resolving escalations while ensuring alignment with value-based care initiatives and regulatory requirements. Manage high-performing teams through recruitment, coaching, and succession planning, while overseeing provider satisfaction metrics, performance dashboards, and continuous improvement in network effectiveness. Partner with Network Contracting, Medical Management, and Finance to optimize reimbursement processes and drive organizational growth. Requires 10+ years of leadership experience, an MBA preferred, and ability to travel for network development. Hybrid schedule with three days in the office.
Required Qualifications
- Extensive knowledge of provider relations, managed care operations, provider engagement strategies, value-based care, healthcare delivery systems, and delegated healthcare models
- Strong understanding of provider reimbursement methodologies, claims adjudication processes, delegated reimbursement models, managed care contracting principles, Medicare Advantage, population health, risk adjustment, STARS, HEDIS, quality improvement programs, and healthcare operations
- Demonstrated executive-level relationship management, negotiation, conflict resolution, and provider advocacy skills
- Exceptional communication, presentation, and executive influence skills with the ability to build trusted relationships across all levels of the organization and with physicians, hospitals, health systems, ancillary providers, and health plans
- Proven ability to develop and execute enterprise-wide strategic initiatives and successfully lead organizational change
- Strong analytical, financial, and problem-solving skills utilizing provider performance, reimbursement, operational, and financial data
- Experience developing executive dashboards, provider scorecards, strategic reporting, and performance analytics
- Ability to establish performance metrics and drive continuous operational and process improvement
- Strong organizational, leadership, coaching, mentoring, and talent development skills
- Ability to manage multiple priorities within a complex, fast-paced, matrixed healthcare environment
- Advanced proficiency with Microsoft Office applications, including Excel, PowerPoint, reporting tools, and business intelligence platforms
- Minimum of 10 years of progressive leadership experience in provider relations, managed care, provider network operations, healthcare administration, or related healthcare leadership roles
- Minimum of 5 years leading Provider Relations or Network Management teams
- Demonstrated success building and maintaining executive-level relationships with physicians, hospitals, health systems, medical groups, ancillary providers, and health plans
- Experience supporting value-based care models, provider performance improvement initiatives, and provider engagement strategies
- Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field
- Must have ability to travel
- Travel will be required to engage with potential providers, develop relationships with physicians, clinical teams, etc. and overall building of the organization's networks
- Candidates will follow our hybrid schedule, working in office three days per week
Desired Qualifications
- Experience working with Medicare Advantage, managed care organizations, accountable care organizations (ACO), or delegated healthcare models strongly preferred
- Master's degree (MBA, MHA, MPH, or related field) strongly preferred
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.