Manager, Provider Performance Engagement

Job Summary: The Manager, Provider Performance Engagement is accountable for overseeing the performance engagement activities with internal and external partners. With a focus on improving health outcomes and total cost of care, the manager, Provider Performance Engagement closely aligns Provider interventions with customized APM engagement plans, oversees implementation, assesses results, and lends guidance for improvement opportunities. Essential Functions: Conduct internal and external meetings to establish and execute on detailed provider performance engagement plans for new and existing providers Manage customized provider plans to support key quality metrics to ensure positive outcomes. Manage process development activities for provider onboarding and oversight Ensure compliance with state, federal and regulatory body requirements Assist with the development and maintenance of departmental policies and procedures for oversight of contracted providers in an Alternative Payment Model (APM) Analyze, update, and modify procedures to continually improve engagement processes Review and incorporate data analysis for program metrics, outcome measures and results, and savings opportunities Support and manage financial ROI, quality metrics, and service level agreements to evaluate success of provider engagement initiatives Identify and manage risk associated with any process change, implement mitigation strategies & communicate/escalate to stakeholders Report provider APM pro