At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population by serving as both a care provider and care plan to the participants we serve.
Our Health Plan Services team is making it possible for our seniors to receive top-quality clinical care within their communities. The Network Development Manager helps ensure this by obtaining and developing provider partnership contracts (Medicare & Medi-Cal) in our existing and future markets in order to best serve our participants’ elaborate care needs.
This role will be remote managing our New Launch Market Locations with 15-25% travel.
Essential Job Duties:
- Regularly assess and meet participant needs for provider contracts across PACE programs in WelbeHealth and help build specialty-based provider network across our Southern California territories
- Prepare contract templates and negotiate optimal rates within Medi-Cal/Medicare and value-based environments across varying methodologies (specialties, hospitals, ancillaries, skilled nursing facilities, nonstandard PACE providers)
- Coordinate post-contract implementation and contract loading with cross-functional teams and market-based leadership
- Establish strong relationships with contracted partners and ensure partner satisfaction
Job Requirements:
- Minimum of three (3) to five (5) years of experience in contract negotiation, managed care, healthcare administration, with at least three (3) years of direct experience in Medicare/Medi-Cal contracting required
- Ability to comprehend and oversee contracting across varying regulatory environments and requirements
- Proven success leading network development efforts as a new entrant health plan
- Bachelor’s degree preferred, or an additional four (4) years of experience in lieu of education
- Local to the greater Northern California region with the willingness to travel on-site as needed to providers’ offices, hospitals, etc.
Benefits of Working at WelbeHealth: Apply your provider relations expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.
- Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
- Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
- Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!
- And additional benefits
#LI-REMOTE
Salary/Wage base range for this role is $125,000 - $145,000 year + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.
Compensation
$125,000—$145,000 USD
COVID-19 Vaccination Policy
At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.
Our Commitment to Diversity, Equity and Inclusion
At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
Beware of Scams
Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to [email protected]
What We Do
WelbeHealth provides full-service care to help seniors age well at home and in their community, often at no cost. Services include medical, coordination, home care, dental, transport, physical therapy, prescriptions, social activities and meals.
Founded by a seasoned group of physician entrepreneurs, our leadership team hails from leading payer and provider organizations such as GoHealth Urgent Care, BAYADA Home Health, AirStrip Technologies, Evolent Health, and On Lok.
With funding from leading venture investors, we're looking for team members who are inspired to help us deliver on our mission of unlocking the full potential of the most vulnerable seniors. Our colleagues are energized by working in diverse groups toward our shared purpose, are eager to drive groundbreaking innovations, and have the courage to care for our participants with empathy and love.
