The Provider Network Management Associate is a critical field-based role accountable for the end-to-end lifecycle of the provider relationship. This includes building a strategic pipeline, advocating for the PACE model to secure new contracts, and managing the ongoing operational performance of the network. The Provider Network Management Associate ensures that our high-caliber provider partners are seamlessly integrated into WelbeHealth's objective to serve vulnerable seniors.
This role is different because Provider Network Management Associates at WelbeHealth:- Have an opportunity to build and shape a highly integrated provider network strategy within a mission-driven PACE model, where clinical outcomes, member experience, and community-based care are deeply interconnected
- Work in a role that offers direct influence on holistic care delivery for a vulnerable senior population through cross-functional partnership and innovative care models, unlike traditional network strategy roles focused primarily on contracting and cost management
We care about our team members. That's why we offer:- Medical insurance coverage (Medical, Dental, Vision)
- Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
- 401K savings + match
- Comprehensive compensation package including base pay and bonus
- And additional benefits!
On the day-to-day, you will: Strategic Growth & Network Contracting- Pipeline Development: Identify, research, and build a robust pipeline of potential provider partners within assigned geographies to meet expansion goals, as well as execute outreach strategies to prospective providers, serving as a primary advocate for the PACE model and its benefits to participants
- Contract Execution: Lead the process of prospective providers signing contracts, partnering closely with the Network Strategy team to ensure alignment with organizational needs
- Market Strategy: Facilitate the execution of market-specific network strategic plans that deliver a highly aligned and performing provider network
Operational Excellence & Relationship Management- Onboarding & Training: Guide partners from initial training on plan policies and technology (e.g., Provider Portal) through ongoing engagement
- Performance Optimization: Establish strong, trusted relationships with contracted partners, leading Joint Operating Committee (JOC) meetings when appropriate to ensure optimal performance and satisfaction
Cross-Functional Collaboration & Performance- Internal Partnerships: Build collaborative relationships with Clinical Operations, Utilization Management, Claims, and PACE Center Leadership teams to ensure seamless communication and workflow integration
- Performance Monitoring: Monitor and report on Key Performance Indicators (KPIs) and Service Level Agreements (SLAs) for the assigned provider network
Job requirements include:- 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 go above and beyond in providing service to providers and partners
- Proven experience building trust-based relationships with a diverse group of stakeholders and delivering a service-centric experience
- Ability to travel to WelbeHealth markets as needed
We are seeking a Provider Network Management Associate that ideally has experience working in a managed care organization. If you're ready to join a team that values both its participants and team members, we'd love to hear from you!
Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.
Compensation Offering
$82,074.03-$108,337.72 USD
