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Corewell Health Corporate
Provider Performance Specialist Senior
Career Insights for Healthcare Administrator (General)
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Based on Michigan data
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What they do
A Healthcare Administrator directs and coordinates delivery of health care and medical services. Manages finances and recordkeeping and communications with medical staff. Works to improve quality and efficiency. May run smaller medical practices or work in specialized areas within large hospitals or health care systems.
$108,819 / year median in Michigan
+10% projected growth
Job Description
Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement strategies linking strategic goals to the execution and renewal of alternative payment model contracts, through medical expense and utilization oversight of trend variance. Advance the requirements of business and quality improvement plans for assigned Accountable Care Networks and large practice groups. Essential Functions Responsible for contributing to the development and execution of provider strategy and solutions for assigned Accountable Care Networks. Substantially responsible for the execution of the strategy, including implementation of an annual strategic plan; coordinating and managing overall activities and developing strategies and approaches to help providers maximize performance potential Provide relationship management and accountable care network oversight to support success in value based contracts Actively contribute to the InterDisciplinary Teams to ensure successful engagement of all parties Lead the execution and implementation of payment programs, aligning economics with the business strategy to achieve lower per capita cost Manage and implement programs to drive down total cost of care through utilization and medical expense trend oversight Identify risk readiness for accountable care networks Manage contract success through analysis of monthly reports Provide mitigation solutions for gap closure and quality metric success Qualifications Required Bachelor's Degree in health care administration, business administration, accounting, finance, clinical or health and human services or equivalent education and experience 5 years of relevant experience of either provider network management experience, health care insurance or other health care delivery setting 2 years of relevant experience directly interacting in a clinical environment Preferred Master's Degree Master's degree in health care administration or business administration or other relevant degree Proven experience analyzing and assimilating financial and outcomes data Knowledge of Patient Profiles and RPX reporting, and/or other reporting programs Experience delivering presentations to a variety of audiences Intermediate level knowledge of Microsoft Office Suite About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement
- to improve health, instill humanity and inspire hope.
- Priority Health
- 1239 E Beltline Ave NE
- Grand Rapids Department Name Provider Network Management
- PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.
N/A CURRENT COREWELL HEALTH TEAM MEMBERS
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