Provider Relations Manager – Performance

At WelbeHealth, we’re transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, functioning as both a care provider and care plan to those we serve.

As we continue to expand our network to meet the care needs of our participants, the Provider Relations Manager – Performance will play a critical part in further developing our preferred provider program to continue exceptional partnerships with our network providers who share a value-based approach.

The Provider Relations Manager- Performance must be open to travel as needed to our markets in the Greater Los Angeles area (Pasadena & Long Beach). 

Essential Job Duties:

• Develop, maintain, and monitor end-to-end the health plan services preferred provider program within region by creating and/or enhancing key value-based incentives for specialty and assisted living facilities

• Establish strong, trusted relationships with contracted partners resulting in optimal performance and partner satisfaction

• Collaborate with provider relations leadership on partner engagement and education, as well as identification of opportunities for performance remediation

• Leverage data to formulate incentive strategy, inform prioritization, and tell a clear and compelling story for network partners

• Prepare letter of agreement templates and negotiate optimal rates within MediCal/Medicare environments across varying provider categories

• Create and Train Provider Network Team on the Joint Operating Meeting visit standards and categories, with emphasis on Assisted Living Facility oversight.

Job Requirements:

· Minimum of five (5) years of experience in Provider Relations, Network Management, Provider Contracting, partnership’s role and/or performance management scope within healthcare climate with clear outcomes-based accountabilities

· Strong analytical acumen with comfortability navigating ambiguity while building strong relationships with our providers, team members, etc.

· Flexibility to spearhead on-site visits with our providers within established region

Benefits of Working at WelbeHealth: Apply your 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)

· 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