Provider Network Management Senior Associate

WelbeHealth•Newark, NJ

4d•Hybrid

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. 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 WelbeHealth’s 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

Requirements

Bachelor's 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

Responsibilities

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