Strategic Account Manager – Provider Networks

🕒 Julho 28

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Soleo Health

501 - 1000 funcionários

Fundada em 2013

🏥 Saúde

⚕️ Seguro de Saúde

💊 Farmacêutico

Healthcare • Healthcare Insurance • Pharmaceuticals

A Soleo Health é uma empresa de farmácia especializada que vai além do simples preenchimento de prescrições, proporcionando experiências personalizadas para pacientes e acesso a medicamentos especializados e terapias de infusão. Eles oferecem tratamento na casa dos pacientes, nos consultórios dos provedores ou em um dos muitos centros de infusão em todo o país. A Soleo Health é especializada no tratamento de doenças complexas e ultrarraras com foco na melhoria da qualidade de vida dos pacientes e na otimização dos resultados de saúde. Trabalham em estreita colaboração com pacientes, provedores, fabricantes farmacêuticos, pagadores e sistemas de saúde para fornecer terapias de alto custo, demonstrando valor através de dados de resultados no mundo real. A Soleo Health é reconhecida por sua excelência clínica e dedicação ao cuidado do paciente, e oferece serviços em todo o país, incluindo um portal online, Soleo Connect®, para comunicação em tempo real.

Descrição

• Develop and manage strategic relationships with IPAs, medical groups, MSOs, hospitals and other delegated provider networks and risk-bearing organizations within the assigned territory. • Identify and execute opportunities to expand access to the Company’s specialty pharmacy and infusion services through provider partnerships and network development. • Serve as the primary liaison to provider leadership, administrators, and key decision-makers, influencing referral pathways and program adoption. • Partner with Payor Relations and internal leadership to support and influence provider contracting strategies, including participation in discussions with IPAs and medical groups to improve access and alignment. • Ensure successful implementation of provider agreements, driving adoption and ongoing performance against partnership objectives. • Educate provider leadership and care teams on the Company’s services, patient support programs, and clinical capabilities. • Collaborate with field sales, clinical, and operational teams to ensure coordinated outreach, account engagement, and patient access. • Monitor referral trends, market dynamics, and competitive activity within IPA and medical group networks, and implement action plans to improve performance. • Communicate market insights, provider feedback, and growth opportunities to leadership to inform strategic planning. • Participate in regional provider meetings, healthcare forums, and professional organizations to strengthen market presence and relationships. • Execute a strategic territory plan focused on high-value provider networks and growth opportunities. • Drive measurable referral growth and utilization through targeted pull-through strategies within contracted and non-contracted provider networks. • Develop new accounts and services existing accounts, obtain new business, by planning and organizing daily work schedule to call on existing or potential referral sources or customers. • Identify opportunities to re-engage inactive referral sources and expand partnerships with new provider networks. • Support internal initiatives that improve provider engagement, access, and operational efficiency. • Maintain accurate documentation of provider interactions, contracting activities, and performance metrics within the Company’s CRM or field automation system. • Provide regular reporting on partnership activity, referral growth, and territory performance. • Maintain strong knowledge of specialty pharmacy services, infusion therapies, and evolving healthcare market dynamics. • Analyze market conditions, referral trends, and business performance to identify growth opportunities and optimize strategy. • Acts as an internal resource to support cross-functional teams in understanding healthcare payment models and provider network structures.

🎯 Requisitos

• Bachelor’s degree in business, Healthcare Administration, Marketing, or related field, or equivalent industry experience. • Minimum of 5+ years of healthcare industry experience in provider relations, healthcare sales, network development, or market access roles. • Strong understanding of healthcare delivery models, including Knox-Keene Health Care Service Plan Act of 1975. • Familiarity with risk-based payment models (e.g., shared savings, downside risk) and provider structures such as IPAs, ACOs, MSOs, and physician-hospital organizations. • Working knowledge of key regulatory and operational concepts such as delegation, Restricted Knox -Keene (RKK), and Division of Financial Responsibility (DOFR). • Experience working with IPAs, medical groups, MSOs, or delegated provider networks strongly preferred. • Experience supporting or participating in provider contracting, network development, or partnership agreements. • Experience in specialty pharmacy, infusion services, or a closely related healthcare delivery model strongly preferred.

🏖️ Benefícios

• Competitive Wages • 401(k) with a Match • Referral Bonus • Paid Time Off • Great Company Culture • Paid Parental Leave Options • Affordable Medical, Dental, & Vision Insurance Plans • Company Paid Disability & Basic Life Insurance • HSA & FSA (including dependent care) Options • Education Assistance Program

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