Market Lead, Network Operations

Hello, we’re Belong.

We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products.

With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.

We believe that only by recognizing individuals can we make communities strong.

Belong Health. Kinder, more supportive care.

While this is a remote work role, candidates considered for the role must live in Alabama and have the ability to travel consistently within the Birmingham, Alabama metropolitan area 30%-50% of the time. Over time, travel may be required to other areas within Alabama based on expansion strategy.

Summary

As Market Lead, Network Operations, you will be the primary driver of provider engagement and network performance as we launch a new partnership in Birmingham, Alabama. This role develops the strategy and business plan to drive markets to profitability by identifying growth opportunities, strengthening partner performance, and improving medical cost outcomes. This will manage the following key areas of accountability:

• Managing initial engagement efforts and rollout of new partnership to practice in the Birmingham, Alabama metropolitan area
• Executing core operational workflows with partners consistently and effectively
• Using data and analytics to develop and drive MLR initiatives
• Deploying processes that drive membership growth with existing partners

This is a foundational role for a new market. The scope of responsibility, including whether the role carries direct reports, will be tailored to the experience level of the successful candidate and the rate and pace of growth in Alabama.

Essential job duties and responsibilities

• Develop and maintain strong relationships with provider organizations, physicians, and practice staff to drive engagement and behavior change.
• Establish strong working relationships with health plan partner network operations team to align on provider engagement strategies and communication.
• Partner with the Belong Health Partner Success team to ensure alignment with joint goals and priorities.
• Lead in-person and remote touchpoints with providers to review performance, cost management opportunities, and contracting changes.
• Identify and prioritize provider needs and concerns; develop solutions that improve patient experience and reduce healthcare costs.
• Leverage data and analytics to improve provider engagement and continuously improve outreach approaches and field deployment.
• Serve as a key local resource and relationship owners the Birmingham market is established and partnership evolves.
• Perform other duties as assigned.

Supervisory responsibilities

• This role may or may not carry direct supervisory responsibilities as this will be managed on an as-needed basis.

Required professional experience and qualifications

• Resides in or can travel frequently to the Birmingham, Alabama metropolitan area.
• 3+ years of experience in a health plan, provider-side value-based care organization, healthcare consulting, or a related setting.
• Strong communication and interpersonal skills to effectively engage providers and practice staff.
• Demonstrated ability to effectively manage a multiple provider relationships and partner with external and internal matrix partners
• Understanding of the healthcare industry, health plan economics, and provider motivations.

Preferred professional experience and qualifications

• Experience in healthcare and provider contracting.

Education, training, license and certification

• Bachelor’s degree in Business or Psychology required; graduate degree in Business, Public Health, or Health Administration preferred.
• No licenses and/or certifications are required for this role.

Work environment

• The work environment characteristics described here are representative of those encountered while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
• The noise level in the work environment is usually quiet.
• Most work is performed on a computer and in a sedentary environment.

Travel

• Ability to travel consistently within the Birmingham, Alabama metropolitan area 30%-50% of the time. Over time, travel may be required to other areas within Alabama based on expansion strategy.

Equal employment opportunity

• Belong Health is an Equal Opportunity Employer. We are committed to creating an inclusive workplace and do not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, veteran status, or any other status protected by applicable law. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with applicable laws.

SALARY RANGE

$120,000 - $140,000

Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply.

Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.)

Originally posted on Himalayas