Medicare Advantage Provider Engagement Manager at Mass General Brigham Health Plan in Somerville, Massachusetts

Job Description:

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.


Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.


We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.


Under the supervision of the Director, Medicare Sales, the Medicare Advantage Provider Engagement Manager will lead the development and execution of our provider engagement strategy to support growth of our Medicare Advantage Business line.


The primary responsibility of this position will include leading the development and manage relationships at all levels within our provider network. This role will be well versed in the value proposition of the health plan, Medicare Advantage product portfolio and all compliance requirements for these activities.


This position will work to develop a year-round approach to provider engagement, with a high touch service model and work closely with the field sales executives to raise awareness and generate leads for our field sales team. This is a highly visible position and will routinely interact with Senior Leadership centrally at the MGB, as well as physician practices, community hospitals, and at MGB's Academic Medical Centers (AMCs). This role will be a key voice for the provider community for the Medicare advantage business line.



Responsibilities:



• Strategic Provider Relationship management


o Proactive approach to relationships


o Creating an annual plan for engagement across all network providers


o Support field sales executives


o Help develop value proposition for Med Adv providers and support the delivery within the organization


• Annual AEP workplan


o Lead provider communications workstream within the plan


o Development of new communications and working closely with marketing and compliance


• Sales Event Support


o Work closely with other identified partners to help facilitate new ways of presenting and communicating Med Adv products in the market


• Organization


o With IT support, develop CRM capabilities to track and manage provider relationships and contact information in a more automated way


o Develop strategic communications plan for providers that leverages technology and automation


o Provide sales leadership with reporting on progress


• Other


o Hold self and others accountable to meet commitments.


• Ensure diversity, equity, and inclusion are integrated as a guiding principle.


• Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.


• Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.


• Other duties as assigned with or without accommodation.



Qualifications

Qualifications:



7-10 years of healthcare industry experience, with increasing responsibilities and autonomy. The ideal candidate will have experience in a healthcare setting, such as a Management Services Organization (MSO), a Physician Hospital Organization (PHO) or a health insurance company. Position requires a highly self-motivated individual with strong communication skills, a solid understanding of analytics and reporting, the ability to demonstrate independent judgment, and comfort and experience with interacting with Senior-level management.



Skills/Abilities/Competencies:



• Demonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.


• Bring fresh ideas forward by listening to and working with employees and the people we serve.


• Navigate a matrixed organization


• Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.


• Strong communication skills and a track record of an ability to execute on time


• Strong aptitude for technology-based solutions.


• Ability to inject energy, when and where it's needed.


• Current in healthcare trends.


• Demonstrated forward, visionary thinking; ability to see "what is" and envision "what could be."


• Ability to develop, introduce, defend, and gain support for a new ideas and approaches.