Health Plan Operations & Facilities Engagement Lead

American Health Partners; Ashland (KY); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

TeleDoc 24/7

Disability Insurance

EAP

401K Plan

Referral Bonus

Job summary

American Health Plans is seeking an Engagement Manager to lead Participating SNF engagement strategies with partner facilities, aligning cross-functional teams to meet health plan goals. You will work with local health plan teams, network, marketing, and operations to deliver solutions that improve patient care while reducing costs.

The ideal candidate has 3+ years in healthcare, strong negotiation and relationship-building skills, and the ability to manage multiple facility projects from

Qualifications

• 3+ years in health care/managed care with leadership responsibilities.
• Experience with value-based and risk-based negotiating arrangements.
• Proven ability to persuade and build relationships with external executives.

Responsibilities

• Implements and executes the Participating SNF Engagement strategy with partner facilities.
• Collaborates with local health plan team, Network, Market Medical Director and Marketing as needed.
• Achieves facility-level engagement goals.
• Actively collaborates with all health-plan functions (Product, Sales, Marketing, Member Experience, Finance, Network, Clinical, Quality, Operations and Local Care Delivery and Care Management).
• Cultivates and sustains effective facility-level relationships built on mutual benefit, implementing solutions which position facilities for success executing plan’s Model of Care.
• Communicates key performance indicators to participating facilities.
• Identifies challenges and barriers that may prevent facilities from meeting desired outcomes and facilitates results-driven solutions.
• Manages cross-functional communication, activities and events related to facility implementation projects to deliver products on schedule, within budget and with superior quality.
• Understands the clients’ business needs, culture and workflows to identify and serve as the expert in making business decisions that enable AHP to provide the fullest value to its members and clients.
• Communicate business objectives as well as technical complexities of implementation to key stakeholders at all levels of AHP and clients.
• Track, report and communicate implementation progress to team members and stakeholders; manage implementation data repository and ensure all implementation documentation is up to date and accessible.
• Create mitigation plans as needed throughout implementation phases to maximize enrollment.
• Provide transparency for project status and delivery across AHP and Client stakeholders.
• Provide customer feedback to Business Development, Network, Sales, Operations, Clinical, Local Market and other key internal teams regarding implementation requests and product enhancements.
• Must adhere to all compliance requirements.

Skills

Lead cross-functional teams

Relationship building

Negotiation skills

Job description

American Health Plans is seeking an Engagement Manager to lead Participating SNF engagement strategies with partner facilities, aligning cross-functional teams to meet health plan goals. You will work with local health plan teams, network, marketing, and operations to deliver solutions that improve patient care while reducing costs.

The ideal candidate has 3+ years in healthcare, strong negotiation and relationship-building skills, and the ability to manage multiple facility projects from