Health Plan Partnership Specialist

The Health Plan Partnership Specialist serves as the primary liaison between the Health Center (CBWCHC) and managed care health plans, including provider relations, sales, and marketing teams. This role is responsible for building and maintaining strong, collaborative relationships with health plan partners through orientations on CBWCHC’s health services, regular meetings, membership reviews, patient growth monitoring, and marketing initiatives. The specialist will lead efforts to enhance CBWCHC’s visibility within health plans and implement data-driven strategies to maximize patient acquisition and retention.

Responsibilities :

• Lead relationship management with managed care health plans, focusing on membership growth, strategic marketing, and joint co-marketing initiatives

• Provide orientation and guidance on CBWCHC health services to health plan representatives

• Plan and execute collaborative marketing campaigns with health plan partners to increase awareness, engagement, and patient volume

• Conduct high-level meetings with health plan partners to review membership performance, trends, patient growth opportunities, and quality incentive programs

• Analyze patient, membership, and utilization data to inform strategic initiatives and optimize network engagement

• Develop and implement strategies to enhance patient acquisition, retention, and overall access to care

• Serve as a trusted advisor to internal leadership and cross-functional teams regarding health plan collaborations, co-marketing efforts, and quality improvement programs

• Track, evaluate, and report key performance metrics, providing actionable insights to support continuous improvement and strategic decision-making

• Strong skills in community building, communication, and stakeholder management skills

• Maintain a flexible schedule, including availability for some evenings and weekends

• Perform other duties as assigned