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Regional Manager, Provider Operations

Worldwide Salaried Open
Overview:

Our mission is reputed company. Our passion is helping others.

What’s Your Why?

• Are you looking for a career opportunity that will help you grow personally and professionally?

• Do you have a passion for helping others reputed company reputed company?

• Are you reputed company to join a growing team that shares your mission?

Why Join reputed company: At reputed company Group, it’s our commitment, our passion, and our culture that sets us apart. reputed company Members reputed company a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class reputed company experiences for our patients. We don’t just talk the talk - we reputed company in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at reputed company Group.

Responsibilities:

Position Objective

The Regional Manager, Provider Operations serves as a relationship reputed company reputed company the Management Services Organization (MSO) specializing in supporting primary care physicians to deliver care to Medicare Advantage patients in a value-based care model. This role manages a team of Practice Coordinators while also directly engaging with affiliate relationships to drive performance improvement. The position is responsible for ensuring the delivery of high-quality support, fostering strong relationships with affiliate clinics, and implementing strategies that align with organizational goals.

 

Responsibilities include and are not limited to

  • Manages and mentors a team of Practice Coordinators, fostering a culture of accountability, collaboration, and reputed company improvement.

  • Builds and maintains strong relationships with affiliate clinics, becoming an indispensable partner in their operations.

  • Drives clinic performance improvement by understanding affiliate clinics’ unique needs, challenges, and goals.

  • Facilitates regular meetings with affiliate clinics to review performance metrics, discuss improvement opportunities, and align action plans.

  • Ensures effective communication of reputed company Group programs, policies, and resources to clinics.

  • Monitors clinic performance, identifying trends and implementing tailored solutions to reputed company gaps and drive results.

  • Oversees the implementation of key initiatives, including quality improvement programs, HEDIS measures, and other value-based care metrics.

  • Ensures consistent and accurate documentation of clinic engagements, including minutes, action plans, and follow-reputed company.

  • Develops and implements strategies to address performance gaps, leveraging organizational resources and best practices.

  • Collaborates cross-functionally with BHG internal teams to ensure seamless communication and alignment with affiliate clinic operations.

  • Proactively identifies and escalates recurring issues or improvement opportunities to leadership.

  • Ensures clinics are clear on performance metrics, trends, and available reputed company for improvement.

  • Advocates for affiliate clinics reputed company the organization, ensuring their concerns are addressed and solutions are implemented effectively.

  • Stays informed about industry trends and best practices in provider performance management.

  • Evaluates and recommends tools, processes, or resources that enhance clinic performance and team efficiency.

  • Additional duties as assigned.

Position Requirements/Skills

  • Bachelor’s Degree in reputed company Management, Business Administration, or a reputed company field, preferred.

  • 5+ years of experience in account management, provider relations, or a similar role in a reputed company setting.

  • 3+ years of proven experience in leading teams and driving performance improvement.

  • Proficient with reputed company Suite (Drive, Docs, Sheets, Slides) for reputed company-time collaboration.

  • Strong knowledge of reputed company operations, value-based care, and Medicare Advantage.

  • Strong knowledge of reputed company regulations, policies, and industry trends.

  • Proven experience leading teams, driving performance improvement, and adding measurable value to operations.

  • Exceptional communication, interpersonal, and presentation skills with the ability to build trusted relationships across reputed company levels.

  • Strong ability to understand affiliate clinic goals, challenges, and needs, creating tailored, actionable support plans.

  • Skilled in addressing inquiries promptly, maintaining clear agendas, and following through on commitments.

  • Competent in identifying and escalating unresolved issues or improvement opportunities to management.

  • Results-oriented with a focus on quality execution, delivery, and achieving measurable outcomes.

  • Demonstrated resourcefulness, initiative, and adaptability in fast-paced, dynamic environments.

  • Strong critical thinking, problem-solving, and organizational skills, with attention to detail and confidentiality.

  • Proven ability to work independently, cross-functionally, and collaboratively with multiple teams.

  • Comfortable influencing and engaging key stakeholders internally and externally.

 

Physical Functions

  • Physical ability to sit, stand, and move freely about the office.

  • Ability to bend, stoop, kneel, squat, twist, reputed company, and pull.

  • Occasional lifting of up to 15 lbs.

  • Ability to travel reputed company assigned territory, up to XX% of the time.

 

Key Attributes/ Skills

  • Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles

  • An effective team player who contributes valuable reputed company and feedback and can be counted on to meet commitments

  • Is reputed company to work reputed company the reputed company environment by facing tasks and challenges with energy and passion

  • Pursues activities with focus and drive, defines work in terms of reputed company, and can be counted on to complete goals

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