This is a home-based position requiring the candidate to live in either Houston, Dallas, or Austin, Texas, traveling to nearby provider facilities 30% of the time.
This job is responsible for extensive network building and provider education of assigned market of solutions and clients within the reach of WellSky services. The scope of this job includes working closely with internal teams to highlight the benefits of key referral workflows and programs.
The engagement manager plays a critical role in fostering strong relationships with healthcare providers participating in a Utilization Management (UM) program. This role is responsible for educating providers on UM processes, promoting best practices for prior authorization and care coordination, and driving engagement to improve compliance and patient outcomes.
We invite you to apply today and join us in shaping the future of healthcare!
Key Responsibilities:
- Cultivate strong, consultative relationships with assigned risk-bearing provider networks to drive engagement and meet client needs.
- Educate and support providers in navigating UM processes, including prior authorizations, medical necessity reviews, and evidence-based care guidelines.
- Serve as a key liaison between providers and the UM team, ensuring clear communication, issue resolution, and ongoing support.
- Act as the in-market expert by managing implementation, education, and continuous engagement for referral benefits and workflows.
- Collaborate with internal teams to execute engagement plans, deliver provider education, and analyze data to identify opportunities for intervention and improvement.
- Serve as an in-market expert, build relationships with key stakeholders, and promote WellSky solutions at clinical summits, town halls, and provider meetings.
- Provide regular updates on provider engagement performance, program feedback, and market insights to internal teams and clients.
- Partner with marketing and operational teams to create educational and promotional materials supporting provider engagement efforts.
- Monitor provider performance and engagement trends, analyzing UM-related data to identify opportunities for intervention, workflow optimization, and improved patient outcomes.
- Perform other job duties as assigned.
Required Qualifications:
- At least 4-6 years relevant work experience.
- Bachelor's Degree or equivalent work experience.
Preferred Qualifications:
- Proven ability to engage, educate, and influence healthcare providers in a healthcare or relevant domain preferably in a UM or care management setting.
- Strong understanding of Utilization Management principles, payer-provider dynamics, and prior authorization workflows.
- Experience in provider education, network engagement, or compliance monitoring.
- Ability to analyze data to drive strategic engagement.
- Experience articulating scorecards, performance metrics, and provider outreach strategies.
- Experience in coaching and development of clinical programs to increase provider quality metrics.
Job Expectations:
- Willing to travel up to 30% based on business needs.
- Willing to work additional or irregular hours as needed.
- Must work in accordance with applicable security policies and procedures to safeguard company and client information.
- Must be able to sit and view a computer screen for extended periods of time.
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WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.
WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.
Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.
Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:
- Excellent medical, dental, and vision benefits
- Mental health benefits through TelaDoc
- Prescription drug coverage
- Generous paid time off, plus 13 paid holidays
- Paid parental leave
- 100% vested 401(K) retirement plans
- Educational assistance up to $2500 per year
WellSky Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about WellSky and has not been reviewed or approved by WellSky.
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Leave & Time Off Breadth — Time off options include unlimited vacation for many salaried roles, a broad holiday schedule, dedicated sick time, volunteer time, and generous bereavement leave. The scope of leave programs is comparatively comprehensive.
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Retirement Support — The retirement plan provides a straightforward employer match with immediate vesting. This offers clear long-term savings support.
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Parental & Family Support — Paid parental leave is available for all parents, complemented by supportive family leave policies. These provisions reflect attention to family needs during key life events.
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What We Do
WellSky is a technology company advancing human wellness worldwide. Our software and professional services address the continuum of health and social care — helping businesses, organizations, and communities solve tough challenges, improve collaboration for growth, and achieve better outcomes through predictive insights that only WellSky solutions can provide. WellSky serves more than 20,000 client sites around the world — including the largest hospital systems, blood banks and labs, home health and hospice franchises, government agencies, and human services organizations. Informed by 40 years of providing software and expertise, WellSky anticipates providers’ needs and innovates relentlessly to help people thrive. Our purpose is to empower care heroes with technology for good, so that together, we can realize care’s potential and maintain a healthy, flourishing world.
