Mount Sinai Careers

Director of Provider Engagement and Outreach – Mount Sinai Health Partners

New York, New York
Professional / Managerial / Administrative


Job Description

The Mount Sinai Health System

Director of Provider Engagement and Outreach

 

Who We Are: 

Mount Sinai is one of the leading US health systems and a top-ranked academic medical center. We are transforming our business to focus on population health – our goal is to keep entire communities healthy and out of the hospital.  Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount Sinai.  The team includes 350+ employees with clinical, contracting, finance, IT, analytics, and operations expertise. 

 

MSHP is a fast growing business unit within the Mount Sinai Health System and is looking for team members who:

 

·         Are comfortable “playing up” and “playing down” as needed to accomplish business objectives

·         Work productively amidst ambiguity

·         Thrive in fast-paced  work environments

·         Seek to improve the status quo 

 

Learn more about Mount Sinai Health Partners and hear from our leadership team here.

 

Within MSHP, the Physician Engagement and Clinical Operations Team are the eyes and the ears of the organization with regards to the implementation all strategic initiatives to the provider network of over 3600+ physicians.

 

What We Offer:

 

·         Opportunities to lead important departmental projects

·         Mentorship from senior leaders to achieve your personal career goals

·         A culture of embracing process improvements and innovative solutions

·         Opportunity to work at the forefront of innovation and change in healthcare

 

Job Summary:

MSHP seeks a Director of Provider Engagement and Outreach responsible for the recruitment of new physicians, education, servicing, clinical and quality oversight, utilization review and ongoing relationship management with physicians, physician groups, IPAs, FQHCs, health homes, skilled nursing facilities, community based organizations and specialty groups or vendors.

This position is a fantastic setting to showcase your ability to multitask and create a cohesive work environment with multiple levels of management.  Looking for a self-motivated, organized and responsible candidate with impeccable social skills that can perform under demanding deadlines.  The candidate will be expected to have extensive knowledge of the functions and organizational goals of MSHP.

Key Accountabilities:

·         Responsibilities include developing a comprehensive knowledge of MSHP hospital and physician practices  to develop and administer a physician engagement and partnership strategy focused on creating a sense of community and improving MSHP’s market share; to develop and direct implementation of adequate provider education/training activities for Clinical Integration (CI) participating providers to assure provider satisfaction and issue resolution.

·         Responsible for the day to day oversight of the field team’s duties.  Including weekly report out to Senior Director of team statistics including: Quality reporting, Practice Engagement and recruitment visits and progress on clinical initiatives.  Focus on analytics for the engagement team in support of the Senior Director. Provides education and training to and leads assigned provider engagement team members.

·         Responsible to make scheduled visits to physician offices to engage and communicate with providers within MSHP program regarding participation requirements, clinical performance targets, care gaps and patient engagement opportunities, MSHP program clinical programs/resources, population health strategies, clinical integration, incentive programs and other topics.

·         Works with Senior Director regarding provider notifications, communications, provider satisfaction surveys, regular provider panel status verification, provider roster validation, provider claim issue support beyond the Financial Billing department and credentialing issues.

·         Assists Senior Director in initiatives to maintain up to date competitive information including competitors’ network composition, provider reimbursement and incentive arrangements, medical and utilization management practices, technology and electronic communication methods used by competitors in support of their network providers.

·         Recruit large physician groups, subcontract IPAs, FQHCs, Ancillary providers and large specialty groups or vendors for Clinical Integration Network (CIN) and DSRIP program participation consistent with MSHP network development strategies and participation standards.

·         Ensures operations run according to institutional and departmental policies and in accordance with any government or regulatory requirements as applicable. 

·         Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.

·         Communicates to MSHP providers on issues related to payer contracts, payer policies and procedures. 

·         Drives the implementation and ongoing process of provider education and training with assigned physicians or groups. 

·         Simplifies the physicians’ relationship with MSHP while working to identify and address improvement opportunities, executing plans and delivering key messages to physician practices and office staff.

·         Implements programs and tactics to improve engagement of employed physicians.

·         Performs additional duties as assigned or directed.

 

Job Qualifications:                   

Education and Experience

  • Bachelor’s Degree required
  • A minimum of five (5) years’ related healthcare experience in a Managed Care/Population Health role
  • Two (2) years of management experience
  • Experience in both a clinical and business administration in the health care industry preferred

 

Additional Skills and Qualities

·         MS Office Suite (please check one):  (basic)    (intermediate)   (advanced) 

·         Other: Microsoft Office suite (Word, Excel, Outlook, PowerPoint, Access) – intermediate or greater proficiency

  • Adaptability: Maintains effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements, or cultures.
  • Applies Learning: Assimilates and applies new job-related information in a timely manner.
  • Builds Customer Loyalty:  Effectively meets customer needs; builds productive customer relationships; takes responsibility for customer satisfaction and loyalty.
  • Builds Strategic Work Relationships:  Develops and uses collaborative relationships to facilitate the accomplishment of work goals.
  • Communication: Clearly conveys information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
  • Contributes to Team Success:  Actively participates as a member of a team to move the team toward the completion of goals.
  • Decision Making: Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or developing appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences.
  • Initiates Action:  Takes prompt action to accomplish objectives; takes action to achieve goals beyond what is required; is proactive.
  • Manages Work (includes Time Management:  Effectively manages one’s time and resources to ensure that work is completed efficiently.
  • Quality Orientation:  Accomplishes tasks by considering all areas involved, no matter how small; shows concern for all aspects of the job; accurately checks processes and tasks; is watchful over a period of time.
  • Stress Tolerance:  Maintains stable performance under pressure or opposition (such as time pressure or job ambiguity); handles stress in a manner that is acceptable to others and to the organization.