Provider Network Management Associate

WelbeHealth•Carson, CA

3d•Onsite

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; experience in a managed care organization preferred
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 working in a managed care organization

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