Manager, Network Performance Insights bei Shm

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

Why VillageMD?

At VillageMD, we're looking for a Manager, Network Performance Insights (Arizona Market) to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Integral to our team, the Manager of Network Performance Insights, based in Phoenix, AZ will develop an analytical approach to assessing network performance and optimizing VillageMD’s referral network (physicians, hospitals, pharmacies, ancillary groups & other facilities, etc.) yielding a high functioning network that supports value-based contract objectives. This role will be based in Phoenix but build a network across the entire state. Responsibilities also include establishing and maintaining strong business relationships with health plans and network providers and ensuring the network composition includes an appropriate distribution of provider specialties.

What you might do in your first year:

• Create actionable analytics insights to drive improved performance in value based payer contracts, specialty partner performance, quality and cost of care outcomes
• Strategically identify gaps in network composition and strengthen relationships with Specialty Providers, Hospitals, Ambulatory Surgery Centers, Skilled Nursing Facilities, other Ancillary Providers, etc.
• Develop optimal negotiation strategies and action steps to yield desired outcome
• Develop and foster meaningful relationships with community specialist providers and conduct frequent in-person focus visits with providers
• Design and implement programs that build/nurture positive relationships between VillageMD, the health plan, providers and practice managers
• Implement training and development of providers through education programs to ensure compliance with VillageMD and health plan policies and procedure

What will make you successful here?

• Strong analytical skills including expertise in analyzing large data sets, use of data visualization tools, and driving actionable insights
• Ability to be proactive with strong personal initiative as well as highly organized and detail oriented
• Desire to assist out-of-network recruitment and support other geographic areas as needed
• Openness to providing explanations and information to others on difficult issues
• Ability to navigate within ambiguity, a service orientation, and a high level of humility are vital for successful assimilation into our highly collaborative, entrepreneurial culture
• Excellent verbal and written communication skills; ability to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standards
• Strong interpersonal skills, establishing rapport and working well with other

What you bring to VillageMD:

• 5+ years of experience in healthcare analytics, preferably in a value based care setting
• Undergraduate degree or equivalent work experience
• Strong knowledge of health care services industry and value-based contracting
• Knowledge of healthcare reimbursement methodologies such Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
• Ability to work from Phoenix, AZ office preferred

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families.  Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.