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Clinical Network Lead

4 months ago

Maine, United States Signify Health Inc. Full time

How will this role have an impact?

The Clinical Network Lead is responsible for clinical and operational leadership and strategic oversight of Signify Health's 1099 provider network (tenured) conducting virtual and in-home health risk evaluations.

Location:

This is a remote position with regional travel requirements.

* Candidates must reside and be licensed in one of the states in Signify Health's Eastern Region which includes the following: CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT, and WV.

Education & Licensing Requirements:

* Board-certified Adult, Family, or Geriatric Nurse Practitioner, Physician's Assistant, Board Certified, or Physician (MD/DO)
* State license (unencumbered) required; no history of prior license actions or board-ordered restrictions that would prevent obtaining licensure in additional states upon request
* Current credentialing with Signify Health or ability to obtain credentialing within one month of hire

What will you do?

* Responsible for ownership and development of Signify/provider relationship for all 1099 providers within a designated region from Day 91 onward, throughout their tenured contracted affiliation with Signify Health.
* Proactive clinical network engagement and recognition, as well as, targeted coaching and ongoing performance monitoring of 1099 Physicians, Nurse Practitioners, and Physician Assistants within a designated region.
* Utilize assigned intervention target data provided by the Operational Association to perform small group and individual coaching to providers who are not performing to Signify Health standards with a goal to effectively facilitate positive change in performance.
* Perform comprehensive, as well as, targeted review of clinical documentation in order to identify appropriate coaching opportunities with follow-up 1:1 coaching.
* Perform in-person and virtual ride-alongs with providers
* Identify and promptly escalate providers with potential compliance or continued quality concerns
* Maintain accurate and timely documentation of actions and interventions in Salesforce.
* Collaborate with multiple departments to address and ensure high-value services within the provider network.
* Collaborate with relevant internal stakeholders to ensure a high quality provider experience
* Participate in staff meetings, conference calls, and other meetings as needed
* Provide urgent or emergent support to field providers in real time
* Attend training sessions to acquire/enhance skills related to programs offered
* Actively participate in committees, webinars, and other special projects
* Complete reports/projects/tasks as requested by the Senior Regional Manager
* Ability to travel up to 50% of the time including ad hoc travel as needed:
* Complete a minimum of 2 full weeks of in-home evaluations for Signify Health annually in high need areas.
* Obtain additional state licenses as requested by Signify Health.
* Complete regional tours which includes consecutive days of in-field ride-alongs and hosting of office hours/dinner events within the assigned region; minimum travel requirements subject to change depending on business needs.
* Host Regional Provider focused events and give formal presentations to provider network
* Required to complete minimum prescribed coaching interventions as defined by the business needs. The minimum requirements may fluctuate to accommodate business needs
* Provide cross-regional and cross-discipline coverage assistance as needed
* Perform other incidental and related duties as assigned

Working Conditions Include:

* Fast-paced environment with frequent interruptions
* Signify Health normal business hours of M-F 8:00 AM - 5:00 PM CST; additional hours may be required to meet project deadlines as needed
* Occasional evening and weekend calls
* Occasional lifting requirements of 20 pounds unassisted
* Frequent air travel
* Frequent overnight hotel stays
* Driver's license must be in good standing with the ability to travel by vehicle
* Candidates must reside and be licensed in one of the states in Signify Health's Eastern Region which includes the following: CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT, and WV.

Basic Requirements:

* 2 or more years of experience conducting health risk evaluations
* 2 or more years of clinical experience pertinent to the member population(s) in which oversight is provided
* Experience managing teams
* Experience with remote employees
* Demonstrated clinical and documentation skills
* Fluently speak, read, and write in English
*
* Excellent verbal and written communication skills
* Ability to adapt to rapidly changing business needs and tolerance for ambiguity
* Ability to identify, analyze, and resolve business issues through solution-oriented projects
* Ability to effectively navigate difficult conversations with high level of empathy and professionalism
* Ability to perform in a high-pressure environment and/or crisis situation and render good decisions to resolve problems
* Ability to respond and prioritize internal and external business requests with urgent deadlines
* Proven ability to prioritize and multitask
* Ability to work well with diverse team members of various backgrounds and experience levels
* Basic skills in MS Office; moderate skills in Google Suite; proficient navigation of spreadsheets
* Effective calendar management; ability to plan out monthly schedule in order to meet monthly productivity expectations
* Possess knowledge of health risk evaluations including HEDIS, stars, and risk-adjustment

Preferred Requirements:

Prior knowledge or experience with oversight of 1099 contractors

Previous public speaking, training and presentation experience preferred

Compensation:

The base salary hiring range for this position is $97,000 to $161,000. Compensation offered will be determined by factors such as location, level, job-related knowledge, skills, and experience. Certain roles may be eligible for incentive compensation, equity, and benefits.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. Eligible employees may enroll in a full range of medical, dental, and vision benefits, 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also offer education assistance, free development courses, paid time off programs, paid holidays, a CVS store discount, and discount programs with participating partners.

About Us:

Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals' clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we're able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.

Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify's intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.

To learn more about how we're driving outcomes and making healthcare work better, please visit us at www.signifyhealth.com.

Diversity and Inclusion are core values at Signify Health, and fostering a workplace culture reflective of that is critical to our continued success as an organization.

We are committed to equal employment opportunities for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.

Helpful Links to check out:

Signify Culture

The Signify Story

Check Out The Signify Blog

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