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Provider Relations Associate

welbehealth · Fresno, CA, USA · Fresno, California, United States
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<p><em>Internally titled: Provider Network Management Associate</em></p> <p>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.</p> <p>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.</p> <p><strong>This role is different because Provider Network Management Associates at WelbeHealth:</strong></p> <ul> <li>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</li> <li>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</li> </ul> <p><strong>We care about our team members. That’s why we offer:</strong></p> <ul> <li>Medical insurance coverage (Medical, Dental, Vision)</li> <li>Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days</li> <li>401K savings + match</li> <li>Comprehensive compensation package including base pay and bonus</li> <li>And additional benefits!</li> </ul> <p><strong>On the day-to-day, you will: </strong></p> <p><strong><em>Strategic Growth & Network Contracting</em></strong></p> <ul> <li>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</li> <li>Contract Execution: Lead the process of prospective providers signing contracts, partnering closely with the Network Strategy team to ensure alignment with organizational needs</li> <li>Market Strategy: Facilitate the execution of market-specific network strategic plans that deliver a highly aligned and performing provider network</li> </ul> <p><strong><em>Operational Excellence & Relationship Management</em></strong></p> <ul> <li>Onboarding & Training: Guide partners from initial training on plan policies and technology (e.g., Provider Portal) through ongoing engagement</li> <li>Performance Optimization: Establish strong, trusted relationships with contracted partners, leading Joint Operating Committee (JOC) meetings when appropriate to ensure optimal performance and satisfaction</li> </ul> <p><strong><em>Cross-Functional Collaboration & Performance</em></strong></p> <ul> <li>Internal Partnerships: Build collaborative relationships with Clinical Operations, Utilization Management, Claims, and PACE Center Leadership teams to ensure seamless communication and workflow integration</li> <li>Performance Monitoring: Monitor and report on Key Performance Indicators (KPIs) and Service Level Agreements (SLAs) for the assigned provider network</li> </ul> <p><strong>Job requirements include:</strong></p> <ul> <li>Bachelor’s degree in relevant field required; professional experience may be substituted</li> <li>Minimum of one (1) year of experience in provider relations field work; experience in a managed care organization preferred</li> <li>Demonstrated ability to go above and beyond in providing service to providers and partners</li> <li>Proven experience building trust-based relationships with a diverse group of stakeholders and delivering a service-centric experience</li> <li>Ability to travel to WelbeHealth markets as needed</li> </ul> <p>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!</p><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p>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.</p></div><div class="title">Compensation Offering</div><div class="pay-range"><span>$82,074.03</span><span class="divider">—</span><span>$108,337.72 USD</span></div></div></div><div class="content-conclusion"><p><strong>COVID-19 Vaccination Policy</strong></p> <p>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 r

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