Director, Provider Engagement

Company Overview

Over the next ten years, there will be at least 4.6 million hospitalizations from the misuse of prescription drugs in people 65 or older, resulting in $528 billion in annual avoidable costs. RxAnte is on a mission to improve people’s health by helping them get more from medicines. A rapidly growing, tech-enabled healthcare services company with over 30 million lives under management, RxAnte has become a leading provider of value-based pharmacy care management solutions for health plans.

RxAnte launched Mosaic Pharmacy Service in 2019, a wholly owned subsidiary designed to offer pharmacy and chronic care management services for our clients’ most medically complex and vulnerable members. Using data, advanced analytics, specialized software and pharmacy automation, Mosaic is transforming the pharmacy experience for medically complex seniors while also helping payers achieve their quality improvement and cost savings objectives.

Job Profile

The Director, Provider Engagement will define the provider engagement strategy for Mosaic Pharmacy Service, leading execution of the full spectrum of provider engagement activities. In the role you will develop a playbook for engaging health plan provider networks and build relationships with providers, serving as a trusted advisor to align providers with the values, vision and mission of Mosaic Pharmacy Service. In addition, you will collaborate with business development to sell Mosaic Pharmacy Service to target provider markets. This is a remote position with some travel to our offices in Sterling, Virginia, and to provider locations required. This position reports directly to the Senior Vice President of Client Success.

Specific responsibilities include:

• Formulate and execute a provider engagement strategy, which leads to the achievement of RxAnte’s goals as well as those of its health plan partners.
• Focus on streamlining communication, building and strengthening relationships, and aligning providers with the values, vision and mission of Mosaic Pharmacy Service.
• Develop a thorough understanding of products and services and collaborate with sales team to sell Mosaic Pharmacy Service to target at-risk value-based provider markets.
• Develop and lead execution of the full spectrum of provider engagement activities from initial training and onboarding to ongoing relationship management.
• Serve as day-to-day contact for provider groups.
• Develop a playbook for engaging health plan provider networks, including best practices for engagement and Mosaic pharmacy and health plan collaboration.
• Serve as the liaison between providers, Mosaic pharmacy and health plans clients.
• Create policies, procedures and processes that are scalable to support provider engagement and collaboration.
• Optimize Mosaic Pharmacy Service performance through close collaboration with the Client Success, Clinical Operations, Member Engagement, Product and Analytics teams.
• Lead the development of provider resources and tools, including workflow and reporting solutions.
• Collaborate, problem-solve, and/or strategize with team members on upcoming provider meetings.
• Develop relationships with internal department leaders and external partners to drive strategic initiatives within the provider network.
• Collaborate with payer solution strategy to evaluate current solution performance, recommending enhancements as needed.
• Embody a culture that prioritizes teamwork, innovation, integrity, and client focus.
• Be a steward of RxAnte’s culture, and an ambassador for our brand in the marketplace.

Required Skills/Abilities

• Healthcare experience and domain expertise, especially with Medicare Advantage health plans, pharmacy operations, provider relations and/or value-based care, quality performance or improvement initiatives.
• Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with providers.
• Mission-driven with a clear passion for driving innovation and disruptive solutions to help transform healthcare.
• Comfort in and adaptability with a fast-paced, dynamic environment while maintaining focus on key goals.
• Extreme ownership, bias to action, and know-how to succeed in ambiguity.
• Demonstrated ability to lead without established authority.
• Results-oriented with ability to prioritize and manage multiple projects simultaneously.
• Ability to operate independently in an environment with competing priorities.
• Excellent written and verbal communication skills with the ability to engage, build credibility, and create trust across all levels of an organization.
• Exceptional skills in time management, facilitation, and organization.
• Outstanding knowledge of change management principles.
• Periodic travel to RxAnte offices and provider locations is required.

Education/Experience

• Clinical degree in medicine, pharmacy or other health related field required.
• 7+ years of related experience in provider engagement, healthcare services, managed care and/or pharmacy industry required.
• Experience in pharmacy operations, clinical program management, business development or healthcare technology desired.