Engagement Manager

7 hours ago

🚗 Michigan – Remote

Although this job is listed in Michigan, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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WellSky

WebsiteLinkedInAll Job Openings

Healthcare Insurance • SaaS • Artificial Intelligence

WellSky is a leading healthcare technology company dedicated to improving healthcare and community care outcomes worldwide. By offering comprehensive software solutions and analytics, WellSky enables healthcare providers, payers, and community organizations to collaborate and enhance care quality and accessibility. Their focus spans intelligent care management, connected care networks, and transformative analytics, aiming to create more efficient, inclusive, and sustainable healthcare systems. WellSky addresses social determinants of health and emphasizes patient and family engagement, supporting care in various settings including home, long-term, and acute care.

1001 - 5000 employees

Founded 1980

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

💰 Private Equity Round on 2020-07

📋 Description

• 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.

🎯 Requirements

• At least 4-6 years relevant work experience. • Bachelor's Degree or equivalent work experience. • 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.

🏖️ Benefits

• 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