Network Representative

About the Role We’re unique. You should be, too. We’re changing lives every day for both our patients and our team members. Are you innovative and entrepreneurial minded? Are you motivated by a high work ethic and ambition? Do you inspire others with kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and need great people to join our team. The ChenMed Network Representative is responsible for establishing and maturing collaborative relationships with the preferred specialists to whom we refer our patients and ensuring external referrals adhere to this network. Responsibilities Curation and management of the preferred specialty provider network in consultation with internal stakeholders Building relationships with preferred specialty providers to drive their behaviors and gaining mutually beneficial commitments to progress specialist relationships through the maturity framework Frequent rounding with preferred specialty providers leveraging analytics resources to inform about shared goals, collaboration, communication, referrals, medical cost performance, and levels of service Direct accountability for referrals adherence to the preferred specialty provider network Communication and education with clinical, operations, Referrals, and Specialty and Medical Centers COEs about the specialty network Collaboration with Health Econ and Specialty and Medical COEs to analyze medical cost opportunities for interventions within the Network scope Participate in Center clinical and operational meetings, e.g., Transforming Care Meetings (TCMs), to gain specialist network feedback and provide Network and medical costs education Drive preferred specialist network adherence by collaborating with Center Dyads and Referrals to analyze, identify opportunities, and support improvement initiatives within Referrals including workflow, productivity, leakage and consult tracking Proactively and independently manage specialist network plans of action, analytics needs, and rounding schedules Adapt strategies and tactics to changing market and company dynamics Examine obstacles from various perspectives to develop new and creative solutions when other attempts fail Strong communication and presentation skills Support communication and collaboration with health plans at the city/area and regional levels Perform other duties as assigned and modified at the Network Director’s discretion Knowledge, Skills and Abilities Advanced-level business acuity Comprehensive knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques, and methods Advanced skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in other systems required for the position Ability and willingness to travel locally, regionally and/or nationally up to 80% of the time; flexible to work evening, weekends and/or holidays as needed Team-oriented with the ability to work extremely well with patients, colleagues, physicians, and other personnel in a professional and courteous manner Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks Spoken and written fluency in English This job requires use and exercise of independent judgment Education and Experience Criteria BA/BS degree in Healthcare or related field is required OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis A minimum of 3-5 years’ work experience in Healthcare or related field is required Healthcare experience within the Medicare HMO population is a plus A valid, active driver’s license in state of employment is required; position may require travel within the market Prior experience working in a Medicare Managed Care environment preferred Pay Range $59,251 - $84,643 salary. Employee Benefits chenmed provides comprehensive benefits and career development opportunities. For detailed benefits information, please consult the company website or contact HR directly. #J-18808-Ljbffr Dormont Manufacturing Co