Manager Network Management

Job Locations US-IL-Chicago
ID
2024-5877
Category
Operations
Type
Active/Full Time/Regular

Job Summary

Come reimagine care with us! We’re on a mission to change the way medical care is delivered around the country.

By supplying home-based medical care to patients who need it most, WellBe is changing lives by providing care wherever our patients call home. WellBe’s primary care services are delivered by a team of licensed clinicians in the comfort of the patient’s home. By combining the strength of physicians, nurse practitioners, social workers, paramedics, and other healthcare professionals, WellBe delivers an extra level of support to the patients we serve in their communities. 

 

This high-risk population is typically underserved and challenged with access to care which we provide. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe’s clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum – from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care.

Joining WellBe means joining a growing, purpose-driven organization to deliver the highest quality care to our senior communities and to make an impact on lives every day.

Job Description

GENERAL SUMMARY

The Manager, Network Management role is fully remote along with being an exciting and highly visible internal and external position responsible for collaborating with the National Director of Network Management in researching, implementing, and maintaining strategic ancillary provider partnerships in existing and upcoming markets to expand the service offering available to our patients. The Manager, Network Management will assist in supporting all activities to develop this innovative network of providers. The Manager, Network Management plays a critical role in: 

  • Researches, outreaches, and implements in-network ancillary provider partners for our clinical team’s to send outbound referrals to (DME, Lab, Home Health, Hospice, Mobile Radiology, etc.) in both existing and upcoming markets
  • Reviews Health Information Exchange (HIE) connections available in upcoming markets, performs outreach, manages contracting, and implements partnership in tandem with WellBe’s data/IT team to assist our clinician’s with being able to access our patient’s medical records and ADT alerts
  • Trains and educates local market teams on how to utilize ancillary provider partners for outbound patient referrals
  • Acting as the dedicated liaison and escalation resource between WellBe and ancillary providers
  • Contributing to a high performing Network Development team by surpassing goals, fostering relationships, and driving ancillary provider partnerships for the organization
  • Completing other duties as assigned

SKILLS & COMPETENCIES

  • Must have great interpersonal skills, presentation skills, and excellent verbal and written communication
  • Experience in presenting to executives, healthcare administrators, providers, and external stakeholders
  • Proven ability to establish and maintain durable and complex strategic relationships with ancillary providers
  • Experience in provider contracting, contract negotiations, and contract implementation
  • Experience working in an autonomous environment with a demonstrated ability to organize, take initiative, lead, and follow-up with minimal supervision
  • Ability to think, work independently, and make decisions, while adhering to company standards and guidelines
  • Experience working in a fast-paced dynamic growth environment with conflicting priorities while being persistent in accomplishing goals and self-motivated

Job Requirements

Educational Requirements/Relevant Experience:

  • Bachelor’s degree required
  • Minimum of 5 years’ experience within Network Development, Network Management, Provider Contracting, or Business Development
  • Knowledge of different value-based care models, preferred
  • Knowledge of provider contracting, required
  • Knowledge of different reimbursement methodologies, required
  • Knowledge of health plan and provider operations, required

 

Supervisory Responsibility: This role does not have supervisory responsibilities.

 

Travel requirements: Travel may be required up to 25%.

 

Work Conditions: Ability to lift up to 20lbs.  Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. 

  • Ability to stand for extended periods
  • Ability to drive to patient locations (ie. home, hospital, SNF, etc)
  • Fine motor skills
  • Visual acuity

.

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification.  Management reserves the right to add, modify, change or rescind the work assignments of this position.  Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role. 

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