Market Success Manager

SCOPE OF ROLE

NeueHealth’s Performance Management team is responsible for developing and managing long-term strategic growth, ongoing relationships, and contractual performance across our clients, including affiliate providers and medical groups. Across various partnership models, the Performance Management team ensures that our providers succeed in a value-based care environment.

The Market Success Manager, Value-Based Partnerships is a key member of the Performance Management team, reporting to the AVP of Market Management. This role supports the ongoing implementation and performance of our managed services business and affiliate physician partnerships across multiple markets and regions, including California and the Midwest.

Through matrixed oversight and partnership with other internal teams (including NeueHealth Operations, Clinical, Analytics, Contracting, and Finance), this role reports, and tracks performance of our partners against value-based care contracts, SLAs and KPIs, and develops the infrastructure to enable strategic alignment between NeueHealth and our owned clinics and affiliated providers.

In this role you will directly support partnerships and clients with a strong focus on performance management, in partnership with NeueHealth teams. You will manage the performance of partners’ value-based care contracts, which could include professional capitation for Medicaid, Individual and Family Plan and Medicare Advantage plans, as well as the ACO REACH program.

You will be responsible for timely and accurate implementation of delegated services to clients, escalating risks and coming up with creative, workable solutions that meets clients’ needs. You will manage and track client issues, and coordinate with internal teams to provide scalable solutions. You will maintain a high level of client engagement, including preparing and running joint operations meetings with partners, analyzing and delivering actionable performance reports, and driving towards improved client performance. As NeueHealth grows, your role will also contribute to the development and optimization of market-level performance reporting, provider integration, and clinical workflows and tools. This position will interface with both internal NeueHealth teams as well as owned practices and affiliate provider groups to achieve performance goals.  

Successful candidates will have a proven track record of succeeding in fast-paced and complex client-service settings. You ideally have managed provider partnerships and value-based care contracts before; you anticipate what might go wrong and proactively optimize solutions to consider needs of multiple stakeholders. You consistently listen before acting; lead with accountability; and engage with an attention to detail. Your colleagues and clients recognize you for leading with empathy, collaborating with influence, and coaching engaged teams to achieve measurable results.

ROLE RESPONSIBILITIES

The Market Success Manager, Value-Based Partnerships job description is intended to point out major responsibilities within the role, but it is not limited to these items.

• Establish full understanding of each assigned partner’s operations and structure from implementation through ongoing operations.
• Serve as a primary point of contact for day-to-day communications between NH and assigned affiliate providers and local clinical support teams
• Review financial, utilization, and population health data and help develop actionable insights for local clinical and outreach resources
• Schedule and prepare for regularly scheduled JOC/leadership meetings.
• Coordinate clinical integration activities between affiliate providers and NH
• Serve as conduit for all network activities with NH on behalf of the affiliate providers including risk adjustment, quality gap closure, member engagement, and network design.
• Foster and coordinate affiliate provider and NH leadership touchpoints

SUPERVISORY RESPONSIBILITIES

• This position has supervisory responsibilities.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• Bachelor’s level college.
• Three (3)+ years of experience managing provider or payer entities in value-based contracts, ideally with previous ACO experience.
• Understanding of value-based care reimbursement principles, reporting and analytics.
• Experience managing value-based payer contracts and/or delegated services is desired.
• Experience working directly with providers and clinics in delegated service models is desired.
• Experience working to close quality gaps and in clinic settings is desired.

PROFESSIONAL COMPETENCIES

• Strong communication skills, both verbal and written
• Strong teamwork orientation, both internally with matrixed teams and externally with client organizations
• Organized and be able to prioritize work to meet deadlines
• Works independently with little supervision
• Able to thrive in an unstructured environment
• Understands regulatory and compliance rules surrounding enrollment and eligibility
• Results and detail oriented and understand the big picture

WORK ENVIRONMENT

• Most work responsibilities are performed in an open office setting, carrying out detailed work sitting or standing at a desk/table and working on the computer.
• Some travel may be required.