Director, Provider Relations - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 156237
The Director, Provider Relations is responsible for the day-to-day supervision of the Provider Relations staff and day-to-day management and oversight of the operations of the Provider Relations Department, This position is responsible for but not limited to; (1) maintenance of Community's formal Provider Education Plan, including but not limited to, strategic annual revisions and execution of Provider Incentive Programs and improvement of the Provider Satisfaction Survey results, (2) timely and efficient general communication with participating providers, (3) timely and efficient resolution of general provider inquiries and/or complaints, (4) collaboration with staff from other health plan departments as it relates to maintenance of Community's provider networks from an Access/Availability and competitive standpoint, (5) identifying and implementing innovative means to improve provider engagement and overall performance, and (6) compliance with all local, state and federal laws and regulations, obligations set forth by HHSC and CMS, as well as any accreditation standards prescribed by NCQA and URAC.
BA in Business/Marketing or related field. Four years equivalent work experience may substitute for degree requirement.
Seven years of experience and training in Provider Relations, contracting, and/or physician practice management. Working knowledge of local provider community and various healthcare delivery systems preferred. Working knowledge of claims processing preferred.
Five years of experience in a Provider management role, preferably in, Provider Relations, and/or Provider Contracting department.
Exceptional verbal communication skills.
Writing /Composing: Correspondence /Reports
Analytical, Medical Terminology, Research, Statistical,
MS Word, MS Excel
Please be advised: Effective Wednesday, September 1st, 2021, with the exception of those who receive an approved exemption, all new hires must provide proof of vaccination against COVID-19 or receive the first dose of a COVID-19 vaccine by the second Friday of employment.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.