Job Description

The physician Engagement/Network Development represents and advances Starling IPA interests in the Provider market, as the preferred and ultimately preeminent IPA through superior customer service and execution of Provider engagement strategies. The Physician Engagement/Network Development represents commitment to developing and managing a high performance network and to engaging in various Provider engagement strategies that follow four core principles: Quality, Clinical Efficiency, Administrative Efficiency and Population Health.

· Responsible for the provider recruitment process. Identify gaps, complete paperwork, etc.

· Serve as plan liaison for physicians/physician groups. Will be the main point of contact for all IPA-related issues including marketing, enrollment, contracting, billing, and reimbursement.

· Responsible for the resolution of all issues, including those identified by the provider, and those identified internally that have an impact on the physician. Coordinates with all IPA staff to assist as appropriate, including creating project plans, issue logs, conference calls, etc.

· Schedule frequent and regular face-to-face contact with the practice locations to identify any issues and ensure plan visibility.

· Keep up-to-date of competitor activity, including new reimbursement and marketing strategies. Negotiate favorable/competitive rates with providers based on market trends.

· Conduct new provider orientation and identify opportunities for education on both clinical and administrative topics. Includes experts in the field of education as needed from in-house staff.

· Responsible for monitoring and reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans.

· Working under light supervision, maneuvers multiple tasks independently with a fast paced proactive vs. reactive approach to changing priorities while meeting IPA objectives. Attention to managing many details and remaining focused in an environment with distractions.

· Contribute creative solutions and ownership of daily assignments for seamless communication and systematic completion of routine and special projects. Follow protocols and use common sense to escalate situations to management appropriately.

· Handle other duties as assigned with the occasional need to work weekends, overtime, and/or travel.