Provider Network Management Associate
About The Position
WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. The Provider Network Management 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. The Provider Network Management Associate ensures that our high-caliber provider partners are seamlessly integrated into WelbeHealth’s objective to serve vulnerable seniors. This role is different because Provider Network Management Associates at WelbeHealth: Have an opportunity to build and shape a highly integrated provider network strategy within a mission-driven PACE model, where clinical outcomes, member experience, and community-based care are deeply interconnected. Work in a role that offers direct influence on holistic care delivery for a vulnerable senior population through cross-functional partnership and innovative care models, unlike traditional network strategy roles focused primarily on contracting and cost management.
Requirements
- Bachelor’s degree in relevant field required; professional experience may be substituted
- Minimum of one (1) year of experience in provider relations field work
- Demonstrated ability to go above and beyond in providing service to providers and partners
- Proven experience building trust-based relationships with a diverse group of stakeholders and delivering a service-centric experience
- Ability to travel to WelbeHealth markets as needed
Nice To Haves
- experience in a managed care organization preferred
Responsibilities
- Identify, research, and build a robust pipeline of potential provider partners within assigned geographies to meet expansion goals, as well as execute outreach strategies to prospective providers, serving as a primary advocate for the PACE model and its benefits to participants
- Lead the process of prospective providers signing contracts, partnering closely with the Network Strategy team to ensure alignment with organizational needs
- Facilitate the execution of market-specific network strategic plans that deliver a highly aligned and performing provider network
- 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 teams to ensure seamless communication and workflow integration
- Monitor and report on Key Performance Indicators (KPIs) and Service Level Agreements (SLAs) for the assigned provider network
Benefits
- Medical insurance coverage (Medical, Dental, Vision)
- 17 days of personal time off (PTO)
- 12 holidays observed annually
- 6 sick days
- 401K savings + match
- Comprehensive compensation package including base pay and bonus
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
