Provider Network Management Senior Associate

Location & Work Environment: This is a hybrid field-based opportunity supporting the Newark market. The successful candidate must be based in Newark NJ or within a reasonable commuting distance and be comfortable working in the field throughout the work week. Workdays and schedules may fluctuate based on provider needs business priorities and field activities.

WelbeHealth is a value-based healthcare organization thats transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities out of institutions and cared for like family all while receiving the healthcare and social services needed to thrive.

The Provider Network Management Senior Associate is a critical field-based role accountable for the end-to-end lifecycle of the provider relationship. This includes building a strategic pipeline advocating for the PACE model to secure new contracts and managing the ongoing operational performance of the network. This role ensures that our high-caliber provider partners are seamlessly integrated into WelbeHealths commitment to serve frail seniors.

This role is different because the Provider Network Management Senior Associate at WelbeHealth:

• Owns the provider relationship from pipeline to performance providing the opportunity to identify and develop new provider partnerships advocate for the PACE model lead contracting efforts and build lasting relationships that support a high-performing provider network
• Combines field-based relationship management with strategic network growth providing the opportunity to work directly with providers and health systems while partnering cross-functionally with Clinical Operations Utilization Management Claims and PACE leadership to improve access performance and the provider experience

We care about our team members. Thats why we offer:

• Medical insurance coverage (Medical Dental Vision)
• Work/life balance - We mean it! 17 days of personal time off (PTO) 12 holidays observed annually and 6 sick days
• 401K savings match
• Comprehensive compensation package including base pay and bonus
• And additional benefits!

On the day-to-day you will:

• Identify research and build a robust pipeline of potential provider partners within assigned geographies to meet expansion goals
• Execute outreach strategies to prospective providers serving as a primary advocate for the PACE model and its benefits to participants
• Lead the process of getting prospective providers to sign contracts partnering closely with the Network Strategy team to ensure alignment with organizational needs
• Support the Network Strategy Manager in contracting with larger health systems specialists and facilities
• Guide partners from initial training on plan policies and technology (e.g. Provider Portal) through ongoing engagement
• Establish strong trusted relationships with contracted partners leading Joint Operating Committee (JOC) meetings when appropriate to ensure optimal performance and satisfaction
• Build collaborative relationships with Clinical Operations Utilization Management Claims and PACE center leadership to ensure seamless communication and workflow integration

Job requirements include:

• Bachelors degree in relevant field required; professional experience may be substituted
• Minimum of five (5) years of experience in provider relations field work; experience in a managed care organization preferred
• Demonstrated ability to go above and beyond in providing service to providers or partners
• Proven experience building trust-based relationships with a diverse group of stakeholders and delivering a service-centric experience
• Excellent organizational and communication skills

Were seeking a relationship-driven Provider Network Management Senior Associate who is energized by building trusted partnerships developing new business opportunities navigating complex contracting conversations and helping providers deliver high-quality care to vulnerable seniors. If youre ready to join a team that values both its participants and team members wed love to hear from you!

COVID-19 Vaccination Policy

At WelbeHealth our mission is to unlock the full potential of our vulnerable this spirit please note that we have a vaccination policy for all our employees and proof of vaccination or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity Equity and Inclusion

At WelbeHealth we embrace and cherish the diversity of our team members and were committed to building a culture of inclusion and belonging. Were proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race color religion sex gender gender identity gender expression sexual orientation marital or veteran status age national origin ancestry citizenship physical or mental disability medical condition genetic information or characteristics (or those of a family member) pregnancy or other status protected by applicable law.

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