California Licensed Provider Relations Director

Job Summary

A company is looking for a Senior Director, Provider Relations.

Key Responsibilities

• Leads and develops the Provider Relations Management team to achieve market targets
• Monitors and tracks provider performance improvement and compliance with performance metrics
• Collaborates with internal departments to resolve network and operational challenges

Required Qualifications

• Bachelor's Degree in a related field required
• 8+ years of experience in provider relations required
• 5+ years of management experience required
• Understanding of HEDIS and STARS measures
• Knowledge of Risk and Value-Based contractual arrangements