Job Details

Overview

Our mission is Better Health. 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 achieve Better Health?

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

Why Join Our Team:At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make 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 healthcare experiences for our patients. We don't just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Responsibilities

Position Objective:

The Director of Provider Operations is responsible for overseeing and managing the affiliate provider network performance and related operational activities for the Florida market by leading a team of regional provider account managers to deliver high-quality, consistent healthcare services aligned with value-based care outcomes. This position will work closely with the VP, Provider Operations to ensure successful department outcomes aligned with Better Health Group goals.

Responsibilities:

• Develop and execute strategies for building and maintaining a robust and high-quality provider network

• Lead a high-performing provider operations team within Fl, focusing on best-in-class account management framework

• Establish clear goals, provide direction, and foster a culture of collaboration, accountability, and excellence within the team

• Cultivate and maintain positive relationships with providers and their representatives

• Serve as the primary point of contact for escalated issues, inquiries, and concerns, ensuring prompt and effective resolution

• Implement and streamline processes related to provider onboarding, credentialing, claims management, and other operational activities

• Continuously identify opportunities to enhance efficiency and reduce administrative burden

• Monitor quality assurance programs to evaluate provider performance, adherence to standards, and patient satisfaction

• Collaborate with the Quality and Compliance teams to address any issues or gaps in service quality

• Ensure compliance with all applicable healthcare regulations, laws, and industry standards related to provider operations

• Stay informed about changes in the regulatory landscape and implement necessary adjustments

• Utilize data and analytics to assess provider network performance, identify trends, and make data-driven decisions to optimize network management and operational efficiency

• Additional duties as assigned

Position Requirements/ Skills:

• Bachelor's degree in healthcare administration, business management, or a related field preferred

• 7 years combined experience in healthcare provider operations, network management, or related role

• Strong knowledge of healthcare regulations, policies, and procedures

• Understanding of healthcare reimbursement models, provider contracting, and regulatory compliance

• Demonstrated ability to build and maintain relationships with healthcare providers and stakeholders

• Familiarity with learning management systems and other educational technologies

• Proficient with Google Suite (Drive, Docs, Sheets, Slides) and Microsoft Office (Word, Excel, PowerPoint) for real-time collaboration

Physical Requirements:

• Requires standing, walking, pushing, bending, kneeling, and reaching

• Ability to sit for extended periods of time

• Requires corrected vision and hearing to normal range

• Ability to operate a motor vehicle and have own means of transportation

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 ideas and feedback and can be counted on to meet commitments

• Is able to work within our Better Health environment by facing tasks and challenges with energy and passion

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

• Demonstrated ability to handle data with confidentiality

• Ability to work cross-functionally with multiple teams; ability to work independently with minimal supervision

• Excellent organizational, time-management, and multi-tasking skills with strong attention to detail

• Excellent written and verbal communication skills; must be comfortable communicating with senior-level leadership, providers, and health plans

• Strong interpersonal and presentation skills

• Strong critical thinking and problem-solving skills

• Must be results-oriented with a focus on quality execution and delivery

• Appreciation of cultural diversity and sensitivity toward target patient populations

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