Regional Manager, Provider Operations

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

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 $60,000.00 - USD $80,000.00 /Yr.