Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.
What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.
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.
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
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.
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
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.
We’re Making Healthcare Right. Together.
We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
Focusing on Consumers We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
Building on Alignment We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
Powered by Technology
We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.