Director of Provider Relations jobs in United States
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Texas Health and Human Services · 14 hours ago

Director of Provider Relations

Texas Health and Human Services Commission (HHSC) is committed to creating a positive impact in the lives of fellow Texans. They are seeking a Director of Provider Relations who will strengthen relationships with providers, oversee the development of solutions to systemic issues, and lead projects aimed at improving provider engagement within the Medicaid program.

Health Care
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Responsibilities

Drives the vision for engaging providers to strengthen collaboration on the overall goals of the Texas Medicaid program
Oversees the development and deployment of solutions to systemic provider issues and ensures effective feedback or problem resolution is provided
Coordinates and participates in relevant provider forums and meetings to ensure discussions facilitate improved relationships between providers, HHSC and managed care organizations
Directs and serves as a key internal advisor to other MCS units regarding provider perspectives and supports ensuring providers have accurate and timely information
Liaisons with HHSC Information Technology (IT) and contracted state vendors to ensure provider-related technology system changes prioritize the user experience and consider innovative approaches to reduce administrative burden
Researches and stays abreast of emerging provider issues within the Medicaid program in Texas and nationally
Develops and implements procedures necessary to support effective and efficient provider relations across HHSC departments and within MCS
Conducts regular assessments of provider communication methods and recommends improvements that support clear, concise, and timely information
Performs other related duties as assigned
Attends work on a regular and predictable schedule in accordance with agency leave policy

Qualification

Texas Medicaid knowledgeProvider relationship managementStrategic partnershipsPublic health systemsComplex problem solvingData analysisEffective communicationLeadership experienceIndependent work

Required

Graduation from an accredited university with a bachelor's degree
Minimum of 7 years of relevant government, consulting or health industry experience
Knowledge of Texas Medicaid and CHIP services, provider priorities and concerns, public and private health care systems, state and federal laws, program requirements and financing
Knowledge of state and federal legislative process
Ability to establish effective internal controls that promote adherence to applicable state/federal laws and HHSC Medicaid/CHIP program requirements
Ability to understand and effectively interpret agency and program rules, policies, and the ability to navigate agency procedures and processes to reach desired outcomes
Ability to communicate effectively orally and in writing
Ability to coordinate activities among public, private, and professional groups; express ideas clearly and concisely; address audiences effectively; and exercise judgment in evaluating situations, making decisions, and negotiating solutions
Ability to direct the work of others
Skill in gathering, synthesizing and evaluating highly complicated and technical information and translating it into easily understandable and concise documents and oral presentations for agency executives, elected officials, and the public
Skill in complex problem solving and analysis
Ability to work independently with minimal supervision

Preferred

Master's degree
Experience related to health care provider relationship management
Direct experience with Medicaid and CHIP

Benefits

100% paid employee health insurance for full-time eligible employees
A defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement

Company

Texas Health and Human Services

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Texas Health and Human Services is an agency that focuses on improving health, safety and well-being.

Funding

Current Stage
Late Stage

Leadership Team

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Dr. Napoleon Broughton
Chief Executive Officer: Life Enhancement Solutions
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John F. Palermo
CTO Strategic Analyst VI
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