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Evolent Health Director, Provider Solutions in Boston, Massachusetts

Your Future Evolves Here

New Century Health (NCH) has been transforming the delivery of specialty care and driving radical cost and quality improvement across the member journey for patients with cancer and cardiovascular disease. As part of Evolent Health, we are on a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

Why We’re Worth the Application:

  • We continue to grow year over year.

  • Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts (https://www.evolenthealth.com/diversity) .

  • Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index making us a best place to work for LGBTQ+ equality.

  • Named to Parity.org’s 2020 list of the best companies for women to advance (https://www.evolenthealth.com/about-us/press-releases/8579/evolent-health-named-to-parity.org%E2%80%99s-best-companies-for-women-to-advance-list-2021) .

  • Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.

  • Published an annual DE&I report (https://dev.evolenthealth.com/sites/default/files-public/Evolent%20Health%202020%20DE%26I%20Annual%20Report.pdf) to share our progress on how we’re building an equitable workplace.

What You’ll Be Doing:

Position Summary:

The Director of Provider Solutions in collaboration with Market VP, Provider Solutions will be responsible for development, retention, maintenance of provider risk accounts. Responsibilities include building and executing strategic guidance plans, establishing standard meeting schedules, effectively communicating account performance.

Key Competencies

Accountability: Meets established expectations and takes responsibility for achieving results; encourages multi-department team members to do the same.

Customer Focus: Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience.

Acts Strategically : Makes decisions and sets strategy based on long-term vision, uses a company-wide perspective to translate strategies into actions.

Executes for Results : Effectively leverages resources to create exceptional outcomes. Determines the best course of action when facing ambiguity. Anticipates and resolves barriers and constraints. Embraces change, applies new knowledge and reconfigures quickly to capitalize on opportunities.

Essential Duties and Responsibilities:

  • Work closely with finance and data team in making sure health plan leakage logic is correct

  • Work closely with Provider Solutions Associate Directors in making sure health plan leakage is addressed with provider and/or recouped (when applicable)

  • Works closely with Market VP in managing MER

  • Responsible for departmental projects as requested by Provider Solutions leadership and/or Corporate office

  • Identifies and analyzes problems, plans tasks and solutions. Provides guidance to team on development, performance, and productivity issues.

  • Works closely with Clinical and Analytic teams in identifying/ analyzing problems and collaborates in bringing solutions

  • Will actively participate in implementation/expansion efforts as needed

  • Responsible for departmental projects as requested by Provider Solutions Leadership and/or Corporate office.

  • Contributor in managing payor accounts in assigned markets to include opportunities for client retention/growth and client satisfaction

  • Assists in the development and implementation of provider contracting strategies,

Education, Experience & Licensure:

Bachelor’s degree in business, healthcare or related field, or equivalent experience;

Minimum of 8 plus years’ experience working in operations or client management environments.

Skills & Requirements:

  • Requires excellent interpersonal skills and the ability to communicate and interact professionally and effectively with a broad spectrum of people both internal and external, in person, via email and on the telephone.

  • Knowledge of health solutions industry

  • Strong interpersonal and relationship skill

  • Strong business and financial acumen

  • Comprehensive knowledge of Microsoft Word, Excel and PowerPoint;

  • Ability to develop and nurture client relationships

  • Strong analytical skills

  • Strong negotiations skills

  • Ability to travel 15%

  • Ability to analyze and resolve complex issues, both logical and interpersonal

  • Ability to organize and manage multiple priorities

  • Ability to self-motivate, work independent, cooperative, flexible, creative

  • Ability to lead people and get results through others

  • Must be able to foster a positive and productive work environment with ability to build consensus

Technical Requirements:

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and national law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Compensation Range: The minimum salary for this position is $80,000, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.

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