Regional Manager, Network Operations (Northeast)

**While this is a remote work role, candidates considered for the role must reside in or around the northeast region of the United States and be able to travel regionally.**

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 strategy and business planning to get their markets to profitability. This includes but is not limited to:

• Identifying and outreaching prospective partners for growth and new strategic partnerships
• 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 medical cost and utilization initiatives
• Identifying quality improvement opportunities and developing strategies to achieve program year goals

In partnership with the market team members, 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 ideal candidate will have a background in managing business operations, leading teams, presenting information in a simple way that persuades providers to take action, and being able to prioritize the right work.

 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.

SUPERVISORY RESPONSIBILITIES

This role may be 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

• Resides in or has an ability to travel consistently to the region they will be covering.
• Bachelor's degree in Business or Psychology (preference for graduate degree in business, public health or health administration)
• 3+ years of experience working in 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, CMS Quality Programs and provider motivations.
• Experience in healthcare and provider contracting preferred

TRAVEL

Travel requirements 30-50% -- both within market and between markets as needed  

SALARY RANGE

$120,000 - $140,000