Manager Provider Network Excellence (Hybrid/Troy, MI) - Health Alliance Plan
🔍 Troy, Michigan
This management position will require 3 on-site days at the Health Alliance Plan building in Troy, MI - with Tuesday as one of the required days.
GENERAL SUMMARY:
Provide guidance and leadership to the Provider Excellence team. Reporting to Director, Provider Network Management Operations the Manager of Provider Excellence will have a dedicated team that manages the divisions projects, policies, procedures, metrics, data, and visual dashboards to help Provider Network Management division run day to day operations in a more efficient manner. Responsible for the oversight of projects that help meet Provider Network Management and HAP’s business objectives. Ensure results for projects, deliver business requirements, meet implementation timelines, and meet quality and audit standards. Establish and maintain relationships with leadership, business partners, and the provider community. Ensure Provider Network Management continually delivers high quality outcomes while maintaining compliance to the provider community. Participate and influence discussions regarding provider data short and long-term strategy.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
- Develop and direct the Provider Excellence team to ensure they meet the service levels, manage projects, and meet the needs and expectations of all internal and external customers.
- Manage offshore resources and/or automated resources used to meet due dates, timelines, and SLAs within the division in a compliant manner.
- Manage division budget and budgeted expenses to the organization.
- Have a solid understanding regarding the impact of technological and process changes on the division and the organization and advise on downstream implications.
- Manage requirements to ensure division submits all appropriate requests to BCT timely so due dates are met with provider community.
- Develop processes and protocols that create the framework for the Provider Excellence team to act as liaisons between Provider Network Management Division and organization gathering business requirements and overall objectives.
- Manage network lease agreements for organization.
- Maintain and establish quality standards and maintain metrics and divisional dashboards.
- Establishes and administers a divisional wide training program for internal employees and provider community.
- Oversees the design, strategy, and accuracy of provider data reports that are externally deployed.
- Oversee the development and implementation of change enablement strategies, processes, and methodologies, including change management. Identify the need for change, anticipating, recognizing, reimagining work while creatively addressing resistance to change; working with others to view change as an opportunity for growth.
- Develop staff and encourage new ideas/approaches.
- Use efficient and cost-effective approaches to integrate technology, process and procedures into the workplace and improve program effectiveness.
- Collaborate with business partners to maintain and develop training materials.
- Perform other duties as assigned.
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor’s Degree in Business Administration, Finance, Management, or relevant field, required.
- Three (3) years of management experience or demonstration of management skills through work experience in healthcare field, required.
- Five (5) years of process and/or project management, required.
- Three (3) years within a healthcare environment, required.
- Experience in defining and implementing incremental process improvements.
Department preferred experience/skills:
- Experience working with a provider network.
- Experience working with offshore teams.
- Scrum or Agile methodology exposure.
- Experience in SQL or Power BI a plus.
- Strong written and verbal communication skills.
- Detailed and organized.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.