Engagement Manager – Provider Network Management

🕒 August 7

🎰 Nevada – Remote

🎰 Nevada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 33%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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WellSky

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1980

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Private Equity Round on 2020-07

Healthcare • Consulting • Logistics

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.

📋 Description

• Cultivate strong, consultative relationships with assigned provider networks to drive engagement and meet client needs • Educate and support providers in navigating Utilization Management processes, including prior authorizations, medical necessity reviews, and evidence-based care guidelines • Serve as a key liaison between providers and the Utilization Management team, ensuring clear communication, issue resolution, and ongoing support • Manage implementation, education, and continuous engagement for referral benefits and workflows as the in-market expert • Collaborate with internal teams to execute engagement plans, deliver provider education, and analyze data for intervention and improvement opportunities • Build relationships with key stakeholders and promote WellSky solutions • 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 • Monitor provider performance and engagement trends, analyzing Utilization Management data to identify workflow optimization and patient outcome improvements • 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 • 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 • Applicants for U.S.-based positions must be legally authorized to work in the United States • Verification of employment eligibility will be required at the time of hire

🏖️ Benefits

• Excellent medical with Rx, dental, and vision benefits • Mental Health support through EAP • Generous paid time off • 13 paid holidays • 100% vested 401(K) retirement plans • Educational assistance up to $2500 per year