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Salary: USD 82,074 - 108,338 / annual
WelbeHealth is a value-based healthcare organization transforming senior care through the PACE (Programs of All-Inclusive Care for the Elderly) model. The Provider Network Management Associate is a field-based role responsible for the complete lifecycle of provider relationships, from strategic pipeline development through ongoing operational management.
Key Responsibilities:
Strategic Growth & Network Contracting:
- 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 primary advocate for the PACE model and its benefits
- Lead the contract execution process for prospective providers in partnership with the Network Strategy team
- Facilitate execution of market-specific network strategic plans
Operational Excellence & Relationship Management:
- Guide partners through initial training on plan policies and technology platforms (e.g., Provider Portal)
- Establish strong, trusted relationships with contracted partners
- Lead Joint Operating Committee (JOC) meetings to ensure optimal performance and satisfaction
Cross-Functional Collaboration & Performance:
- Build collaborative relationships with Clinical Operations, Utilization Management, Claims, and PACE Center Leadership teams
- Monitor and report on Key Performance Indicators (KPIs) and Service Level Agreements (SLAs) for assigned provider networks
- Ensure seamless communication and workflow integration across departments
This role offers direct influence on holistic care delivery for vulnerable seniors through cross-functional partnership and innovative care models, distinguishing it from 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 provide exceptional service to providers and partners
- Proven experience building trust-based relationships with diverse stakeholders and delivering service-centric experiences
- Ability to travel to WelbeHealth markets as needed
