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.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health 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.