Job Information
Evolent Health Sr Director, Partner Operations in Harrisburg, Pennsylvania
Your Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
Senior Director, Partner Operations
The Senior Director, Partner Operations serves as Evolent’s point person for developing and managing key client relationships, and for achieving desired operational and financial performance. As the liaison between assigned clients and Evolent, this individual will monitor performance, identify opportunities for improvement/optimization, and work with key stakeholders to ensure client issues are resolved in a timely and appropriate manner. This role also includes serving as an advocate for client needs and an ambassador within Evolent as the go-to expert on client priorities.
Collaboration Opportunities
The Senior Director, Partner Operations role also collaborates with internal teams as necessary (including Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical, Quality, and Call Center Teams) to identify new opportunities, deploy and optimize Evolent programs, and achieve client and organizational objectives.
What You Will Be Doing:
Account/ Relations Management – provide corporate, executive and overall account management for designated client partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management.
Performance Management – maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of quarterly/annual reconciliations.
Partner/Provider Satisfaction – maintain overall accountability for the satisfaction of designated partners and the providers in their networks.
Initiative Deployment – accountable for the overall deployment of clinical, financial, and operational improvement initiatives to improve performance, satisfaction, and clinical quality/outcomes.
Teamwork/Collaboration – serves as a liaison between the customer and key Evolent stakeholders; monitors issue resolution and ensures appropriate, timely follow up by Evolent team members.
Staff Management – manages assigned staff as requested to optimize the performance and satisfaction of designated client partners and their provider networks.
Qualifications - Required
Bachelor’s degree in business administration, healthcare administration, public health, analytics, or a related field, master’s degree Strongly Preferred.
7 or more years of experience working directly with health plans, health systems or providers to drive clinical, financial and/or operational performance improvement; senior/executive experience desired.
5 or more years in relationship management roles (account management, consulting, enterprise sales, etc.) and/or externally facing operational leadership positions.
Demonstrated ability to communicate, present and influence credibly and effectively at all levels of the organization, including at the C-level; excellent verbal and written communications skills, particularly in the realm of telling a compelling story of value contributed to the partnership.
Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial performance.
Exceptionally high “Emotional Intelligence” – able to connect with diverse constituents, actively listen, and identify key areas of sensitivity.
Highly organized, self-motivated, and the intellectual curiosity to get to the bottom of partner issues and opportunities; a willingness to roll up sleeves and work toward solutions in partnership with operations counterparts and centralized resources.
A steady demeanor with the judgement to determine when to escalate and how to prioritize competing inputs.
Approaches problem solving with creativity to solution with partners and forecast needs rather than waiting for issues to arise. In addition to a tenacious partnership ethos with a relentless focus on follow through and maintaining trust.
Experience identifying and deploying initiatives across a provider network to drive clinical and financial outcomes.
Strong knowledge of healthcare data and how they can be leveraged to identify opportunities and actions (including EMR, clinical, authorization, claims, SDoH, etc.); understanding of how to translate data and insights into actionable initiatives, strategies, and developing/managing performance scorecards and action plans (payer, provider, initiative, etc.).
Ability to travel as needed (up to 15%) .
Technical Requirements:
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, 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 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. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.
The expected base salary/wage range for this position is $150,000 up to $165,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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