Provider Success Manager

Full Circle Health Network; California (MO); Hybrid; USD 90,000 - 110,000; Full time

Job summary

Full Circle Health Network seeks a Provider Success Manager to strengthen California's network of community-based providers. This primarily remote, exempt role focuses on onboarding, grant coordination and provider engagement to support CalAIM initiatives.

You will analyze performance, build partnerships with CBOs and health plans, and report on operational progress while advising leadership on risks and opportunities across California.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Public Administration, Human Services or related field, or equivalent combination of education and experience.
• Minimum three (3) years of progressively responsible experience supporting healthcare operations, provider relations, implementation, project management or program operations.
• Experience with CBOs, healthcare providers, managed care organizations or public-sector healthcare programs.
• Experience coordinating complex initiatives.
• Strong written, verbal, facilitation, presentation and relationship-management skills.
• Proficiency with Microsoft Office and virtual collaboration technologies.

Responsibilities

• Lead introductory meetings with CBOs.
• Coordinate provider onboarding, implementation planning and operational readiness.
• Monitor, analyze and report provider performance, operational metrics and implementation progress.
• Identify barriers and recommend solutions.
• Build relationships with CBOs, providers, managed care plans and external stakeholders.
• Partner with internal departments to resolve provider operational issues.
• Prepare reports, presentations, training materials and operational updates.
• Advise leadership regarding provider implementation, performance, emerging risks and strategic opportunities.
• Represent FCHN in meetings, collaborative partnerships, conferences and trainings.
• Support provider engagement, operational excellence, network growth and strategic priorities.
• Perform other related duties.

Skills

Communication

Facilitation

Presentation

Relationship management

Analytical thinking

Education

Bachelor’s degree in Healthcare Administration, Business Administration, Public Administration, Human Services or related field

Tools

Microsoft Office

Virtual collaboration tools

Job description

Employment Type: Full-Time, Exempt – Administrative

Work Arrangement: Remote / Hybrid

Work Location Requirement: Candidate must reside in California.

Travel Requirement: Occasional travel for provider meetings, health plan meetings, trainings, audits, organizational meetings, conferences and other business activities.

Company Overview

FCHN is an integrated network of nonprofit, nationally accredited providers delivering coordinated community-based services to vulnerable children, individuals and families across California.

FCHN exists to ensure more Californians can access culturally congruent and trauma-informed care from a high-quality network of community-based organizations addressing whole-person and whole-family needs.

We accomplish this primarily by:

• Serving as a single contracting vehicle for community-based providers to enroll in Medi-Cal managed care plan networks.
• Reducing administrative burden so providers can focus on serving clients.
• Improving coordination across systems through technology infrastructure, training and administrative practice support.

FCHN embraces the population health vision of CalAIM and is closely affiliated with the California Alliance of Child and Family Services.

Position Summary

Community-Based Organizations are navigating significant changes in California healthcare. CalAIM initiatives rely heavily on CBOs while providers work to operationalize new initiatives, implement models of care, develop community referral pathways and manage increasing administrative requirements.

FCHN is dedicated to supporting CBOs by providing an exceptional customer experience, reducing administrative burden associated with program implementation and supporting providers in achieving operational and financial success.

The Provider Success Manager performs work directly related to the general business operations of FCHN and exercises discretion and independent judgment on matters of significance.

The position is responsible for provider onboarding support, grant coordination, provider success initiatives, operational collaboration and strategic relationship management with CBOs and external stakeholders throughout California.

Key Responsibilities

• Lead and participate in introductory meetings with CBOs.
• Coordinate provider onboarding, implementation planning and operational readiness.
• Manage PATH CITED and County IPP grant application processes and implementation support.
• Monitor, analyze and report provider performance, operational metrics and implementation progress.
• Identify barriers and recommend solutions.
• Build relationships with CBOs, providers, managed care plans, community partners and external stakeholders.
• Partner with internal departments to resolve provider operational issues.
• Prepare reports, presentations, training materials and operational updates.
• Advise leadership regarding provider implementation, performance, emerging risks and strategic opportunities.
• Represent FCHN in meetings, collaborative partnerships, conferences and trainings.
• Support provider engagement, operational excellence, network growth and strategic priorities.
• Perform other related duties.

Essential Functions

• Exercise independent judgment and discretion in provider onboarding, implementation and operational support.
• Analyze provider performance data and develop recommendations.
• Coordinate grant-related activities and implementation planning.
• Build relationships with providers, CBOs, health plans and internal stakeholders.
• Resolve operational issues across departments.
• Prepare and present reports, analyses, training materials and communications.
• Represent FCHN externally.
• Maintain compliance with organizational policies, confidentiality standards, grant requirements and applicable regulations.
• Manage competing assignments and deadlines.
• Perform other duties consistent with the position.

Required Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Public Administration, Human Services or related field, or equivalent combination of education and experience.
• Minimum three (3) years of progressively responsible experience supporting healthcare operations, provider relations, implementation, project management or program operations.
• Experience with CBOs, healthcare providers, managed care organizations or public-sector healthcare programs.
• Experience coordinating complex initiatives.
• Demonstrated ability to exercise independent judgment and develop practical business solutions.
• Strong written, verbal, facilitation, presentation and relationship-management skills.
• Proficiency with Microsoft Office and virtual collaboration technologies.

Preferred Qualifications

• CBO experience serving vulnerable populations.
• CalAIM and Medi-Cal Managed Care knowledge.
• PATH CITED and County IPP grant knowledge.
• Provider implementation and network development experience.
• Experience developing procedures, training materials, provider resources or implementation tools.
• Healthcare regulatory, grant administration and quality improvement experience.

Knowledge, Skills & Abilities

• CBO operations, healthcare delivery systems and provider support models.
• CalAIM, Medi-Cal managed care, PATH CITED, County IPP and implementation requirements.
• State websites, grant portals, regulatory documentation and reporting requirements.
• Analytical, critical-thinking and problem-solving skills.
• Provider performance analysis and operational problem solving.
• Strong written, verbal, facilitation, presentation and interpersonal skills.
• Development of provider-facing tools, reports, presentations and training.
• Relationship building with providers, CBOs, health plans, internal departments and external stakeholders.
• Project and deadline management.
• Microsoft Office and collaboration systems.
• Independent judgment, confidentiality and appropriate escalation.

Core Competencies

• Analytical Thinking: Evaluates information, identifies trends and develops practical recommendations.
• Communication: Communicates effectively through written, verbal, facilitation and presentation skills.
• Continuous Improvement: Improves operational processes, provider experience and organizational effectiveness.
• Customer Service: Delivers responsive, professional provider support.
• Integrity: Demonstrates professionalism, confidentiality, accountability and ethical decision-making.
• Operational Judgment: Exercises sound independent judgment.
• Project Coordination: Manages multiple projects, priorities, timelines and deliverables.
• Provider Engagement: Develops trusted CBO and provider relationships.
• Adaptability: Responds effectively to changing priorities, business needs and regulatory requirements.
• Quality Improvement: Uses data and operational insights to improve provider performance and outcomes.

Expected Hours

This is a full-time, exempt position. Employees are expected to be available during regular business hours Monday through Friday and work the hours necessary to fulfill position responsibilities.

Supervisory Responsibilities

This position does not have direct supervisory responsibilities. The role provides operational leadership, coordination, guidance and strategic support to providers, CBOs and cross-functional stakeholders.

Primarily remote and office-based, involving administrative, analytical, coordination, project-management and communication responsibilities.

Work Location & Home Office Requirement

Candidate must reside in California and maintain a suitable home office environment.

Travel Requirements

Occasional travel for provider meetings, health plan meetings, trainings, audits, organizational meetings and other business activities.

Physical Demands

Extended sitting and computer use, telephone and video communication and occasional travel. May require lifting or moving materials up to 15 pounds.

Compensation

Salary Range: $90,000–$110,000

Final compensation will be determined based on experience, qualifications, internal equity and organizational budget considerations.

Why Join FCHN?

The Provider Success Manager has an opportunity to directly strengthen California's community-based provider infrastructure by helping organizations successfully implement new services, navigate CalAIM, overcome operational barriers and build sustainable partnerships.

Equal Employment Opportunity / Reasonable Accommodation / Background Checks

FCHN is an Equal Opportunity Employer committed to maintaining a diverse, inclusive and respectful workplace. Reasonable accommodations are available in accordance with applicable law. Offers may be contingent upon lawful job-related reference and pre-employment screening requirements.