Engagement Manager - Provider Network Management

WellSky•Bentonville, AR

2d•Remote

About The Position

This is a home-based position requiring the candidate to live in the Dallas, TX area. This job is responsible for extensive network building and provider education of assigned market of solutions and clients within the reach of WellSky services. The scope of this job includes working closely with internal teams to highlight the benefits of key referral workflows and programs. The engagement manager plays a critical role in fostering strong relationships with healthcare providers participating in a Utilization Management (UM) program. This role is responsible for educating providers on UM processes, promoting best practices for prior authorization and care coordination, and driving engagement to improve compliance and patient outcomes. We invite you to apply today and join us in shaping the future of healthcare!

Requirements

At least 4-6 years relevant work experience.
Bachelor's Degree or equivalent work experience.
Willing to travel up to 30% based on business needs.
Willing to work additional or irregular hours as needed.
Must work in accordance with applicable security policies and procedures to safeguard company and client information.
Must be able to sit and view a computer screen for extended periods of time.

Nice To Haves

Proven ability to engage, educate, and influence healthcare providers in a healthcare or relevant domain preferably in a UM or care management setting.
Strong understanding of Utilization Management principles, payer-provider dynamics, and prior authorization workflows.
Experience in provider education, network engagement, or compliance monitoring.
Ability to analyze data to drive strategic engagement.
Experience articulating scorecards, performance metrics, and provider outreach strategies.
Experience in coaching and development of clinical programs to increase provider quality metrics.

Responsibilities

Cultivate strong, consultative relationships with assigned risk-bearing provider networks to drive engagement and meet client needs.
Educate and support providers in navigating UM processes, including prior authorizations, medical necessity reviews, and evidence-based care guidelines.
Serve as a key liaison between providers and the UM team, ensuring clear communication, issue resolution, and ongoing support.
Act as the in-market expert by managing implementation, education, and continuous engagement for referral benefits and workflows.
Collaborate with internal teams to execute engagement plans, deliver provider education, and analyze data to identify opportunities for intervention and improvement.
Serve as an in-market expert, build relationships with key stakeholders, and promote WellSky solutions at clinical summits, town halls, and provider meetings.
Provide regular updates on provider engagement performance, program feedback, and market insights to internal teams and clients.
Partner with marketing and operational teams to create educational and promotional materials supporting provider engagement efforts.
Monitor provider performance and engagement trends, analyzing UM-related data to identify opportunities for intervention, workflow optimization, and improved patient outcomes.
Perform other job duties as assigned.