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Regional Manager, Provider Operations

Remote, USA Full-time Posted 2025-11-03
Overview Our mission is Better Health. Our passion is helping others. What's Your Why? • Are you looking for a career opportunity that will help you grow personally and professionally? • Do you have a passion for helping others achieve Better Health? • Are you ready to join a growing team that shares your mission? Why Join Our Team: At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don't just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group. Responsibilities This position will cover the Texas and Oklahoma markets with up to 25% travel Position Objective: The Regional Manager, Provider Operations serves as a relationship lead within the Management Services Organization (MSO) specializing in supporting primary care physicians to deliver care to Medicare Advantage patients in a value-based care model. This role manages a team of Practice Coordinators while also directly engaging with affiliate relationships to drive performance improvement. The position is responsible for ensuring the delivery of high-quality support, fostering strong relationships with affiliate clinics, and implementing strategies that align with organizational goals. Responsibilities include and are not limited to: • Manages and mentors a team of Practice Coordinators, fostering a culture of accountability, collaboration, and continuous improvement. • Builds and maintains strong relationships with affiliate clinics, becoming an indispensable partner in their operations. • Drives clinic performance improvement by understanding affiliate clinics' unique needs, challenges, and goals. • Facilitates regular meetings with affiliate clinics to review performance metrics, discuss improvement opportunities, and align action plans. • Ensures effective communication of Better Health Group programs, policies, and resources to clinics. • Monitors clinic performance, identifying trends and implementing tailored solutions to close gaps and drive results. • Oversees the implementation of key initiatives, including quality improvement programs, HEDIS measures, and other value-based care metrics. • Ensures consistent and accurate documentation of clinic engagements, including minutes, action plans, and follow-ups. • Develops and implements strategies to address performance gaps, leveraging organizational resources and best practices. • Collaborates cross-functionally with BHG internal teams to ensure seamless communication and alignment with affiliate clinic operations. • Proactively identifies and escalates recurring issues or improvement opportunities to leadership. • Ensures clinics are clear on performance metrics, trends, and available levers for improvement. • Advocates for affiliate clinics within the organization, ensuring their concerns are addressed and solutions are implemented effectively. • Stays informed about industry trends and best practices in provider performance management. • Evaluates and recommends tools, processes, or resources that enhance clinic performance and team efficiency. • Additional duties as assigned. Position Requirements/Skills: • Bachelor's Degree in Healthcare Management, Business Administration, or a related field, preferred. • 5+ years of experience in account management, provider relations, or a similar role in a healthcare setting. • 3+ years of proven experience in leading teams and driving performance improvement. • Proficient with Google Suite (Drive, Docs, Sheets, Slides) for real-time collaboration. • Strong knowledge of healthcare operations, value-based care, and Medicare Advantage. • Strong knowledge of healthcare regulations, policies, and industry trends. • Proven experience leading teams, driving performance improvement, and adding measurable value to operations. • Exceptional communication, interpersonal, and presentation skills with the ability to build trusted relationships across all levels. • Strong ability to understand affiliate clinic goals, challenges, and needs, creating tailored, actionable support plans. • Skilled in addressing inquiries promptly, maintaining clear agendas, and following through on commitments. • Competent in identifying and escalating unresolved issues or improvement opportunities to management. • Results-oriented with a focus on quality execution, delivery, and achieving measurable outcomes. • Demonstrated resourcefulness, initiative, and adaptability in fast-paced, dynamic environments. • Strong critical thinking, problem-solving, and organizational skills, with attention to detail and confidentiality. • Proven ability to work independently, cross-functionally, and collaboratively with multiple teams. • Comfortable influencing and engaging key stakeholders internally and externally. Physical Functions: • Physical ability to sit, stand, and move freely about the office. • Ability to bend, stoop, kneel, squat, twist, reach, and pull. • Occasional lifting of up to 15 lbs. • Ability to travel within assigned territory, up to XX% of the time. Key Attributes/ Skills: • Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles • An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments • Is able to work within the Better Health environment by facing tasks and challenges with energy and passion • Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals Pay Range USD $63,650.00 - USD $95,450.00 /Yr. Apply Job!  

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