Job Description Summary
The Senior Director, Specialty Network Management, is responsible for defining, launching, and scaling the organization's Preferred Provider Network (PPN) strategy across key specialty areas. This senior leadership role drives the development of specialty-specific standards, analytics frameworks, and provider partnerships to improve clinical quality, access, and total medical expense. The Senior Director will collaborate cross-functionally with analytics, clinical, and operational teams to ensure successful program execution, adoption, and continuous improvement.
How will you make an impact & Requirements
Set strategy and launch network: • Define MPG's Specialist Preferred Partner Network (PPN) strategy and execute a phased rollout. • Identify high-value specialists: • Partner with MedEcon to create specialty scorecards and a value assessment framework to enable data-informed network design decisions. • Define standards and clinical pathways: • Establish specialty-specific clinical value and performance expectations (quality, outcomes, access, communication, total cost of care). • Develop partnerships: • Build relationships with identified external specialist groups; establish and negotiate agreements with clear service levels, incentives, and performance terms. • Program governance: • Lead monthly joint operating reviews with external provider partners to share data, identify and resolve issues, and drive continuous improvement. • Cross-functional execution: • Build relationships and partner across functions (e.g., Regional Operations and Clinical Leadership, IT Leadership, Referral Management Leadership) to design effective processes that enable an effective rollout of the PPN. • Drive internal adoption: • Embed referral pathways and decision-support prompts in the EHR; educate PCPs and other team members on the new PPN design, increase PCP adoption by soliciting feedback and refining workflows. • Measurement and reporting: • Partner with MedEcon and Finance to measure and report on PPN performance and impact, including operational, clinical, and financial KPIs. • Scale what works: • Codify repeatable playbooks and expand the PPN to new specialties and markets, prioritizing rollout based on opportunity to improve quality and outcomes for Millennium patients. • Be a patient-centric team player: • Demonstrate excellent guest service to internal team members and patients. • Rise to the occasion: • Perform other related duties as assigned.