Network Representative

ChenMed LLC; Mechanicsville (VA); On-site; USD 59,251 - 84,643; Full time

Job summary

ChenMed LLC in Mechanicsville, Virginia, seeks an innovative Network Representative to develop and manage relationships with preferred specialty providers. This role requires strong communication and the ability to coordinate improvements in patient care.

The ideal candidate will possess a Bachelor's degree in Healthcare, coupled with 3-5 years of relevant experience. Familiarity with the Medicare HMO population is preferred, along with the ability to travel extensively within the market. Join us in our mission to transform healthcare for seniors.

Qualifications

• 3-5 years of work experience in Healthcare or a related field.
• Flexibility to work evenings, weekends, and holidays as needed.
• Ability to travel locally and regionally up to 80% of the time.

Responsibilities

• Manage relationships with the preferred specialty provider network.
• Collaborate with internal stakeholders to drive initiatives.
• Analyze patient care opportunities within the network.

Skills

Advanced-level business acuity

Microsoft Office Suite proficiency

Strong communication and presentation skills

Exceptional organizational skills

Team-oriented with ability to work well with others

Spoken and written fluency in English

Education

BA/BS degree in Healthcare or related field

Tools

Excel

PowerPoint

Word

Outlook

Job description

Job Summary

We’re unique. You should be, too. We’re changing lives every day for both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different from most primary care providers. Rapidly expanding, we need great people to join our team. The ChenMed Network Representative is responsible for establishing and maturing collaborative relationships with the preferred specialists to whom we refer our patients and ensuring external referrals adhere to this network. The role engages preferred specialists as the market’s point of contact and coordinates among the specialists and our internal teams to improve patient care, collaboration, and reduce costs.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES

• Curation and management of the preferred specialty provider network in consultation with internal stakeholders.
• Building relationships with preferred specialty providers to drive their behaviors and gain mutually beneficial commitments to progress specialist relationships through the maturity framework.
• Frequent rounding with preferred specialty providers, leveraging analytics resources to inform about shared goals, collaboration, communication, referrals, medical cost performance, and levels of service.
• Direct accountability for referrals adherence to the preferred specialty provider network.
• Communication and education with clinical, operations, referrals, and specialty and medical centers COEs about the specialty network.
• Collaboration with Health Economics and specialty and medical COEs to analyze medical cost opportunities for interventions within the network scope.
• Participation in center clinical and operational meetings (e.g., Transforming Care Meetings) to gain specialist network feedback and provide network and medical cost education.
• Drive preferred specialist network adherence by collaborating with center dyads and referrals to analyze, identify opportunities, and support improvement initiatives within referrals, including workflow, productivity, leakage and consult tracking.
• Proactively and independently manage specialist network plans of action, analytics needs, and rounding schedules.
• Agility to adapt strategies and tactics to changing market and company dynamics.
• Examine obstacles from various perspectives to develop new and creative solutions when other attempts fail.
• Strong communication and presentation skills.
• Support communication and collaboration with health plans at the city/area and regional levels.
• Perform other duties as assigned and modified at the Network Director’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES

• Advanced-level business acuity.
• Comprehensive knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques, and methods.
• Advanced skill in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook; competent in other systems required for the position.
• Ability and willingness to travel locally, regionally and/or nationally up to 80% of the time; flexible to work evenings, weekends and/or holidays as needed.
• Team-oriented with the ability to work extremely well with patients, colleagues, physicians, and other personnel in a professional and courteous manner.
• Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks.
• Spoken and written fluency in English.
• This job requires use and exercise of independent judgment.

EDUCATION AND EXPERIENCE CRITERIA

• BA/BS degree in Healthcare or a related field is required (or additional experience above the minimum may be considered in lieu of the required education on a year‑for‑year basis).
• A minimum of 3‑5 years of work experience in Healthcare or a related field is required.
• Healthcare experience within the Medicare HMO population is a plus.
• A valid, active driver’s license in the state of employment is required; position may require travel within the market.
• Prior experience working in a Medicare Managed Care environment is preferred.

PAY RANGE

Pay range: $59,251 - $84,643. The posted range represents the base hourly rate or base annual full‑time salary. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location and other relevant factors. This position may also be eligible for bonuses or commissions.

EMPLOYEE BENEFITS

Employee benefits information: https://chenmed.makeityoursource.com/helpful-documents

ABOUT CHENMED

ChenMed is a family‑owned, physician‑led organization committed to bringing superior health care to moderate‑to‑low‑income seniors. Our vision is to positively change American healthcare through primary care innovation for the neediest populations. Our mission is to provide a convenient, patient‑centered environment that fosters enduring relationships and delivers superior outcomes and a compassionate experience.