Managed Care Network Development Specialist

University of California, Riverside; California; On-site; USD 66,000 - 116,000; Full time

Job summary

UC Riverside Health is actively expanding its Managed Care and Clinically Integrated Network across Riverside and San Bernardino counties. This field-based role is the primary liaison for independent physicians and practices, guiding participation and contracting while feeding field insights back to senior leadership as data and recommendations.

You will travel to physician offices and engage with office administrators and physicians, bringing what you learn in the field to support network

Qualifications

• Bachelor's degree in a related area or equivalent experience/training.
• 4–7 years of related experience in provider relations or health plan network development.
• Ability to travel regularly throughout Riverside and San Bernardino counties.

Responsibilities

• Act as field liaison to vet provider candidates and guide contracting.
• Identify prospective practices and advocate joining UCR Health networks.
• Partner with contracting team and stay connected post-onboarding.
• Manage relationships with brokers, employers, TPAs, and public agencies.
• Log activity and provide data-driven insights to leadership.

Skills

Field-based experience

Stakeholder engagement

Analytical skills

Communication skills

Team collaboration

Education

Bachelor's degree

Tools

Microsoft Windows

Job description

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. 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

Educational Requirements

Bachelor's degree in related area and / or equivalent experience / training

Experience Requirements

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.

Preferred Minimum Requirements

• Ability to conduct research and produce advanced educational materials.
• Ability to deal with confidential matters with tact and diplomacy.
• Thorough knowledge of outreach and marketing strategies relevant to program.
• Thorough knowledge of outreach best practices.
• Strong organizational, planning and time management skills. Ability to prioritize and manage multiple projects simultaneously.
• Advanced ability to work collaboratively with leaders, physicians, clinical and support staff.
• Thorough knowledge of Microsoft Windows software.
• Advanced written, verbal and interpersonal communication skills.
• Ability to develop and lead educational sessions with diverse clinical groups.
• Excellent analytical and problem-solving skills.
• Ability to analyze data and report findings.

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 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