Provider Relations Manager
at Adventist Health System

Date Posted: 4/8/2017

Job Description



Job:  Administrative / Business Support

Organization:  Adventist Health System Corporate Office

Shift:  Adventist Health System - Courtland

Job Posting:  Full-time

If you want to be a part of a place that provides nothing less than extraordinary compassionate care, then Adventist Health System is the place for you!

We are currently seeking qualified candidates for a Manager Provider Relations position that will be based in our PHSO Central Network department.  This position is based at our in Altamonte Springs, FL.

Responsible for managing the PHSO provider relations functions, the development and execution of the network adequacy strategy, and the negotiation and contracting of all FHHS/FHPN provider or ancillary contracts for the central region. The manager interfaces with all levels of management and the provider networks. 

Specific job duties include:

 

Provider Relations Leadership


•         Responsible to lead, manage, drive, and mentor the provider relations team to achieve and exceed all goals and accountabilities.


•         Responsible for the recruitment, development, motivation, and retention of employees to achieve policies and objectives as well as maintain their current and increasing level of population health and managed care knowledge. 


•         Oversees the provider relations team provider outreach strategies and focus to ensure outreach supports driving provider engagement in the network.


•         Responsible for planning and development of the staff Education Plan. Oversees the orientation of new staff.

Manages FHHS and FHPN Provider Communications


•         Oversees the creation of, updates to, and distribution of the provider information packets and the FHHS Provider Information Guide.


•         Oversees the distribution and summary of provider office satisfaction surveys.


•         Responsible for the distribution of all FHPN communications including mailings, emails, fax blasts or direct office delivery.

 

Provider and Ancillary Contracting


•         Involved in the development of and responsible for the implementation of the network development and contracting strategy for the FHHS/PHSO.


•         Must continually develop an in depth knowledge of contracting and negotiation principles in order to secure results that achieve the objectives of the network strategy.


•         Ensures the proper negotiation of all provider and ancillary based FHHS contracts.


•         Oversees the execution of all CIN participation agreements and ensures they are in line with CIN Board expectations.


•         Responsible to fully understand the network landscape in order to ensure network adequacy and anticipate future needs.


•         Responsible for working with internal and external partners to determine optimal provider engagement strategies.


•         Continuously safeguards the liability exposure through the monitoring of compliance with the relevant policies and procedures, and state and federal requirements as they pertain to network providers.   

Job Requirements

Education Requirements:

 


•         Bachelor’s degree in health services administration, business or related field

 

Experience Requirements:

 


•         Five years previous provider relations experience in a provider network (payer) entity

If this position sounds like a great match for your skills set and experience, please apply online now!

Job Snapshot

About Us

About Adventist Health System

Who We Are

We are one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.

Who You Are

You are a compassionate, talented professional who wants to work in an environment where you can live out your faith and your values. You are excited about being part of a team that uses the latest technology and medical research to ensure patients receive quality care, but who also recognize that great care is always personal. You enjoy going out of your way to make each patient and their family feel special, and are passionate about guiding them toward optimal health.

Our Community

Our community is global and so is our reach. From coordinating medical mission trips in Ethiopia to planting school gardens in Florida, we are constantly seeking ways to go beyond hospital walls in improving the health of our communities. As a member of our team, you will be encouraged to use your talents in fun, meaningful ways that bring joy and healing to people around the world.

Our Mission

Part of this worldwide network, Adventist Health System was founded in 1973 to support and strengthen the Seventh-day Adventist health care organizations in the Southern and Southwestern regions of the United States. Today it is a national leader in quality, safety and patient satisfaction, comprised of 46 hospital campuses and nearly 77,000 employees.

Although separated by geography, each of our facilities is united by the mission of Extending the Healing Ministry of Christ. Today we continue the tradition of whole-person care by practicing and sharing CREATION Health, a blueprint for living a healthy, happy life based on the principles given in the Bible’s creation story: Choice, Rest, Environment, Activity, Trust, Interpersonal relationships, Outlook and Nutrition.

We provide comprehensive benefits, training and advancement opportunities. We care for our employees as well as we care for our patients.