Network Management Associate

About Employer Direct Healthcare

Employer Direct Healthcare is focused on giving access to quality & affordable healthcare for our members. We understand and have experienced the challenges of navigating specialized healthcare and we are dedicated to making a change.

We partner with large self-funded employers to create a benefit program for specialized care. We connect with high-quality providers to give our members peace of mind when going into surgery. And we support our members by helping them navigate the tricky aspects of healthcare; whether that be selecting a doctor, scheduling appointments, or following up after a procedure has been completed to make sure our members are feeling better.

About You:

• You have a drive and AMBITION to tackle big problems. Big problems required big ideas and a team that supports new ideas.
• You CARE deeply for your customers. Your customers aren't just the individuals using your product. They are the driving factor in your motivation to make a change.
• You thrive in a TEAM ENVIRONMENT. Collaboration is key in innovation and creating change.
• A DIVERSE environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
• You are DETAIL ORIENTED, but more so, focus on the execution of your content while balancing a fast-paced environment.
• You understand that PROGRESS is critical to making change. You take the time to celebrate the small and big wins. Understanding that each improvement to a process helps move towards a greater change.
• INTEGRITY guides you in life. Focusing on the truth versus just giving people the answers they want to hear.

If this sounds like you, we would love to connect to speak further about career opportunities at Employer Direct Healthcare.

Please apply to our role & someone from our HR Team will reach out to help you navigate our interview process.

Network Management Associate

The Network Management Associate role is responsible for supporting facility and physician onboarding, provider data quality, provider relationship and performance management of the SurgeryPlus network.

This includes, to successfully:

• Develop executive and administrative provider relationships
• Collect and/or maintain accurate provider data and contract terms in EDHC core systems
• Onboard newly contracted facilities and surgeons through various contract arrangements to participate in the SurgeryPlus program

This position requires strong critical thinking skills and a problem-solving mindset, with the ability to transform data into actionable insights. A successful candidate will be a highly motivated self-starter, with the ability to work both independently and collaboratively with internal operations functions to ensure network growth and success.

Responsibilities and Duties

• Manages and develops relationships at all levels, including executive, with providers and internal stakeholders
• Able to participate in corporate client or prospect sales discussions to describe a successful onboarding experience for to participate in the SurgeryPlus program and present the strengths of the EDH network, capabilities and value proposition
• Ability to present to executive and administrative levels, both verbally and in written form, internally and externally
• Able to design and interpret reports (in conjunction with analytics, IT or operations) to evaluate SurgeryPlus network performance and opportunities to expand initiatives
• Clear understanding of all business terms in provider contracts, and how claims are priced, both internally and across the industry, to enable successful resolution of settlements
• Ability to understand and engage around clinical requirements and quality standards (understanding and explaining the "why" and "how" in our standards)
• Leads onboarding activities for assigned newly contracted facilities and physicians
• Offers strategic input on quality standards for onboarding documentation and timelines, workflows and requirements
• Uses organization management software to maintain accurate provider data for sharing with internal and external stakeholders
• Organize and lead regular performance reviews with providers, including agenda setting, documentation of deliverables and meeting minutes, review of utilization, operational challenges and issue resolution
• Proactively develops solutions and works with manager and other departments to fix root cause drivers of service and/or delivery problems
• Develops project plans to execute on strategic goals and tactics
• Able to travel as needed, up to 10% subject to business needs

Requirements

• Bachelor's degree required
• Minimum of at least 2-3 years of job-related experience in a healthcare strategic account role, provider relations, consulting, network innovation / strategy or contracting role
• Ability to communicate clearly with all levels of healthcare organization personnel, including C-suite
• Excellent customer service and organizational skills
• Self-starter who can work with minimal supervision
• Strong analytical, presentation and leadership skills
• Motivated team player with a positive attitude and ability to work in fast-paced, continually changing, environment
• Excellent verbal and written communication skills

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short & Long Term Disability
• Life Insurance
• 401k with company match
• Paid Time Off
• Paid Parental Leave

LOCATION: Dallas, TX - 100% onsite position