Supervisor Provider Relations

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

The Provider Relations Supervisor will report directly to the Director of Physician Network Contracting. The Provider Relations Supervisor is responsible for overseeing the Provider Relations team within the department. This role involves managing relationships with healthcare providers, ensuring provider satisfaction, and maintaining compliance with contractual agreements, The Supervisor will lead efforts to resolve provider issues, enhance provider engagement, and support DHMSOs strategic objectives.

Minimum Qualifications:

• Minimum 5 years of customer service and provider relations experience in healthcare or managed care.
• Strong understanding of Managed Care Operations (i.e., Quality, HEDIS, HCC, etc.)
• Two (2) years’ experience in program and quality management
• Knowledge of ancillary value-based reimbursement methodologies.
• Familiarity with Medicare guidelines and healthcare regulations.
• One (1) year experience in contracting negotiations, provider fees schedules, and data analysis
• Bachelor’s degree in Business Administration, Healthcare Management, or related field

Preferred Qualifications:

• 8 years of customer service and provider relations experience in healthcare or managed care.
• Four (4) years’ experience in program and quality management
• Three (3) years’ experience in contracting negotiations, provider fees schedules, and data analysis