Dignity Health Employer Relations Network Leader in RANCHO CORDOVA, California

Overview

Dignity Health, one of the nation’s largest health care systems, is a 22-state network of more than 9,000 physicians, 63,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. In FY17, Dignity Health provided $2.6 billion in charitable care and community services. For more information, please visit our website at. You can also follow us on Twitter and Facebook.

Responsibilities

JOB TITLE: Employer Relations Network Leader

JOB SUMMARY:

This is a key position on the Employer Relations Team that is responsible for leading the development and implementation within each Service Area Market the Network Strategy integral to growing accretive contribution margin through developing and selling direct to employer products based on narrower network/product designs, focused on helping employers better control their health plan costs and plan assets. Over time, these products/networks will be available in all nine Service Areas and delivered in partnership with third party administrators (“TPAs”) and/or selected Payers.

The primary goal of this program is to establish a new level of relationship/partnership directly with employers, aiming to exceed their expectations and significantly improve the value of the health care they purchase.

To achieve that goal, Employer Relations must developed partnership with selected, strategic partners (who will vary by market) to focus on optimizing the use of Dignity Health facilities and aligned providers. Enhanced partnerships with physician leaders in the community and physician networks that leverages the capabilities of complex clinical integrated networks, care management programs as well as new and existing internal and external partners.

This is a complex role responsible for leading key initiatives and programs to ensure the delivery of Dignity Health services are aligned with the contractual expectations of the Employers. This includes assisting leadership in Service Area leadership (SVP/VP) and CI Network leadership (Board chairperson, Committee chairpersons) in developing and leading the infrastructure development required to support the Network/Provider/Care Management service and operational interfaces (technical and process). Such as developing key provider relationships, assisting with care management program infrastructure development, managing status and reporting to Board Committees, organizational senior leadership, working with local market executives, physician community leaders and cross-functional teams to implement strategic employer programs. This role involves a high-level of responsibility, requiring excellent interpersonal, communication and management skills and the ability to effectively work complex issues with all levels of leadership.

ESSENTIAL FUNCTIONS:

  • Leads key corporate wide or service areas specific initiatives and programs that align with Employer contract expectations for health services delivery for their employees.

  • Leads implementation for Network integration into Employer Relations products through partnerships with Service Area Leadership including Business, IT, Physician and Legal executives

  • Directs, either directly or indirectly one or more program managers/operational staff across program initiatives.

  • Manages the development, implementation and management of the Employer Relations Network operations within each service area.

  • Manages external relationships with TPA and CI network for clinical program requirements

  • Manages change, balancing service area operational needs with program requirements, addressing risks/issue to resolution, delivering required deliverable.

  • Facilitates clinical executive working sessions with key internal/external executive stakeholders to drive initiatives and program development to implementation that can be transitioned to Operational maintenance.

  • Facilitate transition from initiative completion to Operational leadership for ongoing operational management, “sustainable operations”.

  • Designs/manages/implements decision-making processes with ability to influence all levels of senior management.

  • Develops and presents executive level reports, board resolutions, policies and procedures redesign recommendation at Clinical Integration group board meetings that support new initiatives or programs

  • Develops and presents market/sales presentations to Employers and Networks regarding network capabilities and requirements

  • Partners within Employer Relations Leadership Team to drive all aspects of strategic account implementation projects.

  • Partners with Dignity Health Physician leaders and Clinical Integration network leaders to design, develop and implement care management programs to meet

Qualifications

Experience:

  • 9+ years of experience across multiple and diverse health care operational dimensions: direct and indirect people management, executive influence, business strategy development, business case development and analysis, operational re-engineering, quality and efficiency data analytics.

  • 7+ years of demonstrated experience in managed care in a large hospital system and/or with a large payer with demonstrated competencies in quality, Network clinical integration and/or value based performance contracts

  • Provider practice management

Education:

  • BA/BS or equivalent degree in business or related field or equivalent experience.

  • Masters degree in health administration, business or community/public health

Training:

  • PMP or Six Sigma Lean certification

  • Business Consulting experience

Special Skills:

  • Understanding of Medical Management and Care Management program principles and operational requirements

  • Understanding and experience with Ambulatory Care Practice Management, models of care delivery.

  • Excellent written and oral communication skills

  • Meeting and Group facilitation

  • Advance knowledge/experience with MS Office – Powerpoint, Word, Project, Visio

  • Advance knowledge/experience with MS Excel, Access and/or related analytics and reporting application(s).

Licensure:

  • RN or PA or other clinical licensure

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Equal Opportunity

Dignity Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected Veteran status or any other characteristic protected by law. For more information about your EEO rights as an applicant, please

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this telephone number.

Job ID 2018-50827

Employment Type Full Time

Department Managed Care Contracting

Hours / Pay Period 80

Facility Mercy Healthcare Sacramento

Shift Day

Location RANCHO CORDOVA

Optional Work Location US-CA-SAN FRANCISCO

Optional Work Location US-AZ-PHOENIX

State/Province CA

Standard Hours varies