Senior Network Management Consultant - 25-169

We’re delighted you’re considering joining us!

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees.  We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

This position supports PriMed Senior Management and Hill Physicians’ leadership in the recruitment, reimbursement, strategic development and management of the Hill Physicians’ provider network.

ESSENTIAL  RESPONSIBILITIES:

• Leads cross-functional projects to advance Hill Physicians’ provider network strategy and improve operational processes

• Uses data to drive decision-making on network priorities and the progress of strategic initiatives. Presents to department and Hill Physicians leadership on findings and recommendations.

• Partners with internal department leaders to plan and coordinate network outreach for maximum impact

• Facilitates medical leadership functions such as Specialty Management Team meetings. In partnership with physician Chair, drives committee action items such as analyses, communications, etc.

• Identifies network needs to meet members’ access needs; recruits and helps evaluate providers to join Hill Physicians network

• Supports Practice Support Advisors to best communicate Hill Physicians’ value, resources, and support to the network

NON-ESSENTIAL RESPONSIBILITIES:

• Acts as liaison between physician leadership and PriMed / Hill management and staff.

• Presents, verbally and in writing, analysis, and recommendations to internal and external audiences.

• Participates in a variety of cross-functional teams to support organization initiatives related to development and maintenance of the physician network.

• Manages simple to complex projects regarding compensation, clinical or utilization management, etc.

• Organizes internal and external meetings for department members.

• Performs other duties as required.

SKILLS AND EXPERIENCE REQUIRED:

• Masters’ degree desired or equivalent work experience in a managed care, clinical practice and/or healthcare environment. BA/BS required.

• Three to five years of related experience.

• Demonstrated ability to work independently and manage ambiguity

• Previous managed care experience in areas of provider relations, provider contracting, and/or medical network development preferred

• Strong data analysis skills and thorough attention to detail required.

• Demonstrated project management skills. Ability to prioritize multiple projects and tasks. Must be able to contribute to cross-functional work groups both as leader and participant.

• Strong written and verbal communication skills.

• Familiarity with routine applications software and Internet resources (including Word, Excel, and PowerPoint).

• Ability to travel to and participate in business meetings outside of normal business hours.

• Valid Driver’s License and proof of auto insurance.

Additional Information

Salary: $95,000 - $125,000 Annual

Hill Physicians is an Equal Opportunity Employer