Engagement Manager – Provider Network Management

Job not on LinkedIn

🔥 0 minutes ago

🎰 Nevada – Remote

🎰 Nevada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 an in-market expert • Collaborate with internal teams to execute engagement plans, deliver provider education, and analyze data to identify opportunities for intervention and improvement • 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 supporting provider engagement efforts • Monitor provider performance and engagement trends, analyzing Utilization Management-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, preferably in a Utilization Management 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 • Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates

🏖️ Benefits

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