Overview Job
ID 38252781
Category Healthcare Organization UCR Health Department UCRH Administration Dept Location Main Campus - UCR Salary $66,043 - $115,613 Date Posted 2026-10-15T12:00:00.000Z Application Deadline Open Until Filled Schedule 8AM - 5PM Full/Part Time Full-time(100%) Other Information Qalifies for
Employee Referral Bonus:
No UC Internal Job:
No Position Information UCR Health is actively building its Managed Care and Clinically Integrated Network (CIN) across Riverside and San Bernardino counties, and this role is central to that work. The Managed Care Network Development Specialist grows the network by bringing independent physicians and practices into UCR Health's network. This is a field-based role. Expect to spend much of your week in physician offices working with office administrators and physicians alike. You should be equally comfortable walking stakeholders through network participation and the contracting process while bringing what you learn in the field back to senior leadership as data and recommendations. On the provider side, you will be the primary field liaison for vetting provider candidates for the network. You will identify prospective practices and make the case for joining UCR Health's managed care or Clinically Integrated Network. You will guide physicians through contracting process alongside our contracting team and stay connected after onboarding so providers stay engaged and in network. During periods of annual enrollment events, you will work on the member side and own relationships with insurance brokers, employer benefit managers, TPAs, and public agencies. You will log activity and work with data to expand the network. You will work directly with UCR Health's Chief Strategy Officer and give input into network expansion while bringing back field intelligence. Because the network is still being built, the relationships, processes, and pipeline you create will become the foundation the health system relies on for years. This role is a strong fit for professionals from provider relations, health plan network management, IPA or medical group development, physician liaison work, or employee benefits brokerage. Familiarity with the Inland Empire's managed care landscape (Medi-Cal managed care, Medicare Advantage, commercial HMO/PPO) is a strong plus. Join a growing academic health system whose mission is expanding access to high-quality, coordinated care in one of California's most underserved regions. This is an opportunity for a motivated healthcare professional to own a critical function within a growing academic health system - one deeply committed to serving the Inland Southern California community with high-quality, coordinated care. The full salary range for the Managed Care Network Development Specialist is $66,043.44 - $115,612.56 annually. We base salary offers on a variety of considerations, such as education, licensure and certifications, experience, and other business and organizational needs. Applicants must have current work authorization when accepting a UCR staff position. Currently, we are unable to sponsor or take over sponsorship of an employment Visa for staff. As a University employee, you will be required to comply with all applicable University policies and/or collective bargaining agreements, as may be amended from time to time. Federal, state, or local government directives may impose additional requirements. Requirements Education Requirements Bachelor's degree in related area and / or equivalent experience / training Experience 4 - 7 years of related experience in provider relations, health plan network development, physician recruitment, medical group/IPA operations, employee benefits brokerage, or a related healthcare business development role. Primarily field-based, with regular travel throughout Riverside and San Bernardino counties to physician offices, employer sites, and community events, plus time on campus. Occasional evening or weekend events, particularly during open enrollment. Minimum Requirements Thorough knowledge of outreach and marketing strategies relevant to program. Ability to analyze data and report findings. Ability to deal with confidential matters with tact and diplomacy. Thorough knowledge of outreach best practices. Excellent analytical and problem-solving skills. Ability to develop and lead educational sessions with diverse clinical groups. Advanced ability to work collaboratively with leaders, physicians, clinical and support staff. Strong organizational, planning and time management skills. Ability to prioritize and manage multiple projects simultaneously. Thorough knowledge of Microsoft Windows software. Advanced written, verbal and interpersonal communication skills. Ability to conduct research and produce advanced educational materials. Additional Information In the Heart of Inland Southern California, UC Riverside is located on nearly 1,200 acres near Box Springs Mountain in Southern California; the park-like campus provides convenient access to the vibrant and growing Inland region. The campus is a living laboratory for the exploration of issues critical to growing communities' air, water, energy, transportation, politics, the arts, history, and culture. UCR gives every student, faculty and staff member the resources to explore, engage, imagine and excel. UC Riverside is recognized as one of the most ethnically diverse research universities in the country boasting several key rankings of which we are extremely proud. UC Riverside is proud to be ranked No. 12 among all U.S. universities, according to Money Magazine's 2020 rankings, and among the top 1 percent of universities worldwide, according to the 2019-20 Center for World University rankings. UC Riverside is the top university in the United States for social mobility. - U.S. News 2020 UCR is a member of the University Innovation Alliance, the leading national coalition of public research universities committed to improving student success for low-income, first-generation, and students of color. Among top-tier universities, UC Riverside ranks No. 2 in financial aid. - Business Insider 2019 Ranked No. 2 in the world for research, UCR's Department of Entomology maintains one of the largest collections of insect specimens the nation. - Center for World University Rankings UCR's distinguished faculty boasts 2 Nobel Laureates, and 13 members of the National Academies of Science and Medicine. The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories under state or federal law. It is the policy of the University of California to undertake affirmative action and anti-discrimination efforts, consistent with its obligations as a Federal and State contractor. For information about our generous employee benefits package, visit: Employee Benefits Overview Job Description Details General Information Job Title
CMTY HEALTH OUTR PROFL 3 HX
Job Code 005401 Grade 161 Department Head Timothy Collins Supervisor Collin Lee Department Custom Scope UCR Health is actively building its Managed Care and Clinically Integrated Network (CIN) across Riverside and San Bernardino counties, and this role is central to that work. The Managed Care Network Development Specialist grows the network by bringing independent physicians and practices into UCR Health's network. This is a field-based role. Expect to spend much of your week in physician offices working with office administrators and physicians alike. You should be equally comfortable walking stakeholders through network participation and the contracting process while bringing what you learn in the field back to senior leadership as data and recommendations. On the provider side, you will be the primary field liaison for vetting provider candidates for the network. You will identify prospective practices and make the case for joining UCR Health's managed care or Clinically Integrated Network. You will guide physicians through contracting process alongside our contracting team and stay connected after onboarding so providers stay engaged and in network. During periods of annual enrollment events, you will work on the member side and own relationships with insurance brokers, employer benefit managers, TPAs, and public agencies. You will log activity and work with data to expand the network. You will work directly with UCR Health's Chief Strategy Officer and give input into network expansion while bringing back field intelligence. Because the network is still being built, the relationships, processes, and pipeline you create will become the foundation the health system relies on for years. This role is a strong fit for professionals from provider relations, health plan network management, IPA or medical group development, physician liaison work, or employee benefits brokerage. Familiarity with the Inland Empire's managed care landscape (Medi-Cal managed care, Medicare Advantage, commercial HMO/PPO) is a strong plus. Join a growing academic health system whose mission is expanding access to high-quality, coordinated care in one of California's most underserved regions. Key Responsibilities Conducts frequent on-site visits and collaborates with key staff on policy and process development to maximize referrals.
- Conducts on-site visits to independent physician practices, medical groups, and IPAs to recruit them into the UCR Health managed care network and CIN, and to support practices already in the network.
- Conducts relationship-building visits to insurance brokers, employer benefit managers, HR directors, local governments, school districts, and community groups as assigned.
- Develops candidate providers for network based on need, geography, and opportunity.
- Creates feedback loops between practices and UCR Health operations to reduce leakage and improve onboarding. 25% Maintains accurate record of contacts, meetings and educational activities. Analyzes referral patterns for trends identifying areas for improvement.
- Maintains a daily CRM capturing activity
- Monitors provider landscape and develops relationships with key leaders among providers 15% Identifies key contacts within assigned organizations and establishes effective working relationships with administration and / or clinical staff.
- Builds and manages a pipeline of target practices in priority geographies and specialties, cultivating relationships with physician owners, practice administrators, and office managers.
- Guides recruited physicians through the contracting process in coordination with UCR Health managed care contracting, and maintains contact after onboarding to support participation and retention. 15% Provides onsite follow-up and education for referrals. Engages in follow-up subsequent to program participation.
- Provides continuity oversight linking contracting, credentialing, onboarding, and participation with network providers
- Closes communication loops with community partners to maintain visibility and trust. 10% Develops and implement marketing strategies to enhance referrals. Identifies barriers to referral practices at assigned hospitals / organizations.
- Partners with Marketing on provider-facing materials, such as co-branding with providers, network participation overviews for prospective practices.
- Identifies barriers and works with UCR Health leadership to remove them. 10% Develops and presents evidence-based education plans to administrators and / or clinical providers.
- Develops and gives presentations for prospective practices, broker offices, employer benefit fairs, union meetings, civic organizations, and community health coalitions explaining UCR Health services, network participation, PCP selection, specialty strengths, and access points.
- Prepares data-driven presentations tailored to each audience. 10% Applies best practices to assigned hospitals / organizations. Collaborates on projects and activities.
- Applies community engagement best practices to foster pipeline relationships with employer groups, schools, public agencies, and regional organizations to increase UCRH visibility.
- Collaborates with employers on wellness workshops, onsite screenings, flu shot clinics, and partner-branded service days to drive recognition and referrals. 5% Stays current on outreach / program development best practices and relevant rules and regulations.
- Keeps up to date with health plan policy changes, employer benefits trends, and broker commission structures to better position UCRH.
- Monitors ACA, Medicare Advantage, Medi-Cal managed care, and CalPERS rules affecting employer groups and referral pathways. 5% Participates in relevant professional organizations and represents programs at professional conferences.
- Represents UCR Health at broker meetings, HR networking groups, and employer consortiums.
- Builds the UCRH brand at community and civic events (chambers of commerce, rotary clubs, trade associations, etc.).
- Serves as a liaison between UCRH and regional employer coalitions to promote UCRH as a preferred regional health partner.
5% Special Conditions Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations. Primarily field-based, with regular travel throughout Riverside and San Bernardino counties to physician offices, employer sites, and community events, plus time on campus. Occasional evening or weekend events, particularly during open enrollment.