Provider Network Management Associate

Provider Network Management Associate WelbeHealth - 3.0 East Los Angeles, CA Job Details $82,074.03 - $108,337.72 a year 6 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Qualifications Research Client relationship development Stakeholder relationship building Full Job Description WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. 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!

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 our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. 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