Regional Manager - Network Operations

October 4

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Belong Health

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11 - 50 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Description

• Hello, we’re Belong. • We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. • With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long. • We believe that only by recognizing individuals can we make communities strong. • Belong Health. Kinder, more supportive care. • SUMMARY • 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 creating the strategy and business plan to get their markets to profitability. • This includes but is not limited to:: • Identifying and outreaching prospective partners for growth • 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 med cost initiatives • Managing team members to execute on the strategy and priorities of the market. • In partnership with the Market Leads, 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 Regional Manager will be directly responsible for managing the individual market leads within their region, and as such will be accountable for their performance. • The ideal candidate will have a background in managing business operations, leading teams, presenting information in a simple way that persuades providers to act. • 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. • Other duties as assigned. • SUPERVISORY RESPONSIBILITIES • This role is responsible for managing multiple network operations market leads who manage local market performance.

Requirements

• Three or more years of experience working in a 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 and provider motivations. • Experience in healthcare and provider contracting preferred