Provider Performance Specialist Senior

The Senior Specialist Provider Network Management is responsible for building and maintaining strategic relationships with Priority Healths most complex provider partners. This role serves as a trusted advisor to providers and internal stakeholders leading the resolution of complex operational challenges while supporting quality and provider incentive programs.

The Senior Specialist demonstrates advanced healthcare industry knowledge strong business acumen and the ability to influence outcomes across departments. This individual serves as a mentor to team members an Epic Super User and a key contributor to provider engagement.

Essential Responsibilities

Account Ownership & Provider Relationships

• Serve as the primary relationship owner for Priority Healths largest most complex provider partners.

• Build trusted partnerships with executive and operational leaders.

• Lead Joint Operating Committees (JOCs) and operational forums.

• Anticipate provider needs identify emerging risks and proactively develop solutions.

Complex Operational Issue Resolution

• Lead the resolution of complex provider operational issues involving multiple internal and external stakeholders.

• Navigate ambiguity while maintaining productive relationships.

• Facilitate cross-functional problem-solving.

• Escalate and manage issues appropriately to ensure timely resolution.

Quality & Provider Incentive Programs

• Serve as a subject matter expert for provider incentive programs.

• Partner with providers to support performance improvement efforts and program understanding.

• Interpret and communicate quality and incentive program results opportunities and operational impacts.

• Support implementation of strategic initiatives that improve provider and member outcomes.

Epic & Process Leadership

• Function as an Epic Super User.

• Identify opportunities to improve operational efficiency and provider experience.

• Provide recommendations to reduce provider abrasion.

Team Development & Leadership

• Onboard and mentor new team members.

• Share best practices and operational knowledge across the Provider Network Management team.

• Provide guidance and informal leadership on complex provider issues and escalations.

• Serve as a resource and coach for Specialists and newer team members.

Required

As a team member at Corewell Health you will play an essential role in delivering personalized health care to our patients members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement - to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

• Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
• Optional identity theft protection home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

Department Name

Employment Type

Shift

Weekly Scheduled Hours

Hours of Work

Days Worked

Weekend Frequency

CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.

An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.