Market Lead, Network Operations
About The Position
Belong partners with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long. The Market Lead, Network Operations will be the primary driver of provider engagement and network performance as we launch a new partnership in Birmingham, Alabama. This role develops the strategy and business plan to drive markets to profitability by identifying growth opportunities, strengthening partner performance, and improving medical cost outcomes. This will manage the following key areas of accountability: Managing initial engagement efforts and rollout of new partnership to practice in the Birmingham, Alabama metropolitan area, Executing core operational workflows with partners consistently and effectively, Using data and analytics to develop and drive MLR initiatives, Deploying processes that drive membership growth with existing partners. This is a foundational role for a new market. The scope of responsibility, including whether the role carries direct reports, will be tailored to the experience level of the successful candidate and the rate and pace of growth in Alabama.
Requirements
- Resides in or can travel frequently to the Birmingham, Alabama metropolitan area.
- 3+ years of experience in a health plan, provider-side value-based care organization, healthcare consulting, or a related setting.
- Strong communication and interpersonal skills to effectively engage providers and practice staff.
- Demonstrated ability to effectively manage a multiple provider relationships and partner with external and internal matrix partners
- Understanding of the healthcare industry, health plan economics, and provider motivations.
Nice To Haves
- Experience in healthcare and provider contracting.
Responsibilities
- Develop and maintain strong relationships with provider organizations, physicians, and practice staff to drive engagement and behavior change.
- Establish strong working relationships with health plan partner network operations team to align on provider engagement strategies and communication.
- Partner with the Belong Health Partner Success team to ensure alignment with joint goals and priorities.
- Lead in-person and remote touchpoints with providers to review performance, cost management opportunities, and contracting changes.
- Identify and prioritize provider needs and concerns; develop solutions that improve patient experience and reduce healthcare costs.
- Leverage data and analytics to improve provider engagement and continuously improve outreach approaches and field deployment.
- Serve as a key local resource and relationship owners the Birmingham market is established and partnership evolves.
- Perform other duties as assigned.
Benefits
- This role may or may not carry direct supervisory responsibilities as this will be managed on an as-needed basis.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
