Network Engagement Rep Senior

Intermountain Health; Georgia; Presencial; USD 43.000 - 67.000; Jornada completa

Descripción de la vacante

Intermountain Health is seeking a strategic Manager to develop and oversee aligned member-focused health insurance networks. You will partner with hospital and clinic administrations and affiliated groups, coaching junior representatives and informing leadership on strategic issues.

The role involves building trusted relationships, evaluating provider opportunities, educating physician offices on market trends and value-based care, and coordinating with teams to drive strategic programs.

Formación

• Bachelor’s degree in Health Care Administration or business related field or four years of health care experience.
• Four years of experience working with health care providers at a professional sales or service position.
• Intermediate working knowledge of word processing and spreadsheet programs.
• Demonstrated history of working independently and executing organizational goals with minimal oversight.

Responsabilidades

• Establishs and maintains strategic business relationships with providers and administrators focusing on member needs.
• Acts as strategic partner with provider offices to build and manage aligned relationships and provides strategic input to Directors and Executive leadership.
• Researches and prepares information to present at the Participating Practitioner Steering Committee (PPSC).
• Provides education to physician offices on industry trends, value-based health care and products; reviews reports and dashboards.
• Documents provider interactions and issues in department systems for continuity.
• Anticipates issues and participates in problem resolution; may oversee the process.
• Collaborates with operations, contracting and compliance teams to manage contracting processes and strategic programs.
• Provides informal coaching and mentoring to teammates; may lead special projects.

Conocimientos

Strategic thinking

Relationship building

Leadership

Communication

Mentoring

Educación

Bachelor’s degree in Health Care Administration or Business

Herramientas

Word processing

Spreadsheets

Descripción del empleo

Job Description:

Strategically develop and manage highly aligned member focused health insurance networks by partnering with hospital and clinic administrations, Intermountain Medical Group and affiliated practitioners; demonstrating sound business decisions; and developing relationships of trust. Coach junior representatives and inform leadership on strategic issues.

Job Description

Strategically develop and manage highly aligned member focused health insurance networks by partnering with hospital and clinic administrations, Intermountain Medical Group and affiliated practitioners; demonstrating sound business decisions; and developing relationships of trust. Coach junior representatives and inform leadership on strategic issues.

Job Essentials

• Establishes and maintains strategic business relationships with providers and administrators with a focus on member needs, specifically access and affordability. Acts as a strategic partner with provider offices and the organization to help build and manage aligned relationships and provides strategic input and network recommendations to Directors and Executive level leadership.
• Researches and prepares information to present at the Participating Practitioner Steering Committee (PPSC) regarding providers requesting to join SelectHealth Networks Participates in PPSC committee to determine provider status on networks.
• Provides education to physician offices regarding such things as industry and market trends, SelectHealth strategic direction and value-based health care and other products. Review reports, Dashboards, Provider Insights and other information relevant to their practices. Uses in-depth understanding of fee schedule methodology, Participating Practitioner Service Agreements (PPSA), and credentialing processes to effectively educate providers and staff.
• Carefully documents provider interactions, issues, concerns and other pertinent information in appropriate department systems for review, historical perspective and continuity.
• Anticipates and recognizes issues and is proactive in problem resolution. May oversee the problem-solving process.
• Works closely with departmental operations, contracting and compliance teams to effectively develop and manage internal relationships and contracting processes. Works with other organizational departments and teams to coordinate strategic programs, initiatives and other member centric programs.
• Provides informal coaching, training and mentoring to teammates as necessary. May be asked to lead or facilitate special projects related to market trends and strategic direction.

Minimum Qualifications

• Bachelor’s degree in Health Care Administration or business related field or four years of health care experience. Degree must be obtained through an accredited institution. Education is verified.
• Four years of experience working with health care providers at a professional sales or service position.
• and –
• Intermediate working knowledge of word processing and spreadsheet programs.
• and –
• Demonstrated history or working independently and executing organizational goals with minimal oversight.

Preferred Qualifications

• Management level experience.
• and –
• Ability to think and communicate strategically on various health care related topics.
• and –
• Demonstrated ability to build effective strategic business relationships.
• and –
• Demonstrated ability to make sound business decisions and strategic suggestions.
• and –
• Demonstrated proactive initiative.
• and –
• Excellent communication and presentation skills.
• and –
• Demonstrated effective interpersonal and problem resolution skills.
• and –
• Clinical or health insurance experience.
• and –
• Demonstrated ability to work well in a team setting. i.e. assisting team in reaching team goals, taking on additional workloads when necessary to support the team and constructively coaching in a positive manner.

Skills

• Excellent written and verbal communication skills
• Computer literacy
• Leadership
• Time Management
• Word Processing
• General knowledge of spreadsheets
• Prioritization
• Initiative
• Collaboration
• Teamwork
• Professional Etiquette

Physical Requirements

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity, hearing, speaking, seeing.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$31.01 - $48.84

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.