Regional Manager of Network Operations (Wisconsin)

Hello, we’re Belong.

We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products.

With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.

We believe that only by recognizing individuals can we make communities strong.

Belong Health. Kinder, more supportive care.

**While this is a remote work role, candidates considered for the role must reside in or be able to easily commute to the Madison, WI area. Candidates in the Eau Claire, WI area may also be considered. **

The Regional Manager- Network Operations is accountable for managing the business performance of their given market or market(s). The Regional Manager is responsible for the creating the strategy and business plan to get their markets to profitability. This includes but is not limited to::

• Identifying and outreaching prospective partners for growth
• Deploying processes to achieve membership growth with existing partners
• Effectively executing on core operations with partners
• Leveraging data and analytics to develop and drive key med cost initiatives
• Managing team members to execute on the strategy and priorities of the market

In partnership with the Market Leads, the Regional Manager will work closely with healthcare providers and health plan partners to better understand their needs, provide education and training, and implement programs and solutions to achieve business objectives. The Regional Manager will be directly responsible for managing the individual market leads within their region, and as such will be accountable for their performance. The ideal candidate will have a background in managing business operations, leading teams, presenting information in a simple way that persuades providers to act.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

• Develop and execute business plans for their markets.
• In collaboration with growth team, lead growth strategy and execution for their markets.
• Build strong relationships with key providers and practice stakeholders to effectively communicate and implement programs, initiatives, and strategies.
• Lead in-person or remote touchpoints with providers to discuss performance, cost management and contracting changes.
• Identify and prioritize provider needs and concerns, and develop solutions to improve the patient experience and reduce healthcare costs.
• Collaborate with cross-functional teams to ensure alignment of provider engagement strategies with business objectives.
• Leverage data and analytics provider engagement metrics to continuously improve engagement strategies and build focused approaches to deploying market leads with practices.
• Effectively manage a team of market leads to achieve optimal operational performance within their respective markets.
• Other duties as assigned.

SUPERVISORY RESPONSIBILITIES

This role is responsible for managing multiple network operations market leads who manage local market performance. The role could potentially be overseeing multiple geographic markets, with multiple provider and health plan partners. The expectation is that this role can effectively manage personnel remotely with in-person travel to different geographic markets as needed.

REQUIRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS

• Three or more years of experience working in a health plan, provider-side value-based care or healthcare consulting
• Strong communication and interpersonal skills to effectively engage with providers and practice employees
• Ability to manage multiple staff, project and geographies with competing timelines and prioritize tasks effectively
• Understanding of healthcare industry, health plan economics and provider motivations.

PREFERRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS

• Experience in healthcare and provider contracting preferred

EDUCATION AND TRAINING

• A bachelor's degree in business or psychology is required; a graduate degree in business, public health or health administration is preferred.

LICENSE AND CERTIFICATION

• Active New York State Nursing License is required; multi-state nursing license preferred.
• Care management certification is required.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those encountered while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet. Most of the work is performed on a computer and in a sedentary environment.

TRAVEL

This role may require some travel based on business needs approximately 30-50% of the time, both within market and between markets as needed. An employee in this role must resides in or have an ability to travel consistently to the region they will be covering and the markets or regions within their purview.

SALARY

$110,000 - $150,000

Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply.

Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.)