Provider Network Development Manager
Job Description
At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve.
Our Provider Relations team is making it possible for our seniors to receive top-quality clinical care within their communities. The Provider Network Development Manager helps ensure this by obtaining and developing provider partnership contracts in our existing and future markets in order to best serve our participants’ care needs.
Essential Job Duties:
· Regularly assess and meet participant needs for provider contracts across PACE programs in WelbeHealth and help build specialty-based provider network across our Southern California territories
· Prepare contract templates and negotiate optimal rates within Medi-Cal/Medicare and value-based environments across varying methodologies (specialties, hospitals, ancillaries, skilled nursing facilities, nonstandard PACE providers)
· Coordinate post-contract implementation and contract loading with cross-functional teams
· Establish strong relationships with contracted partners and ensure partner satisfaction
Job Requirements:
· Minimum of three (3) to five (5) years of experience in contract negotiation, managed care, healthcare administration, with at least three (3) years of direct experience in contracting required
· Ability to comprehend and oversee contracting across varying regulatory environments and requirements
· Bachelor’s degree preferred, or an additional four (4) years of experience in lieu of education
· Local to the greater Los Angeles region with the willingness to travel on-site as needed to providers’ offices & healthcare facilities, etc.
Benefits of Working at WelbeHealth: Apply your provider relations expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.
· Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
· Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
· Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!
· And additional benefits
Salary/Wage base range for this role is $110,000.00 - $125,000 annually + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Â Actual pay will be adjusted based on experience and other qualifications.
COVID-19 Vaccination Policy
At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all of our employees and proof of vaccination prior to employment is required.
Our Commitment to Diversity, Equity and Inclusion
At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
Beware of Scams
Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to [email protected]
Date Posted
04/13/2023
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9
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