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Clinical Network Lead

4 months ago

Grand Rapids, United States Signify Health 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.

**You do not need to be licensed in every state for your region.**

**Travel**:Approx 25%

**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 25% 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.
- 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

**You do not need to be licensed in every state for your region.**

**Basic Qualifications**:

- 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 with people leadership or managing teams
- Demonstrated clinical and documentation skills
- Excellent verbal and written communication skills, fluently speak, read, and write in English
- 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 respond and prioritize internal and external business requests with urgent deadlines
- 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
- Ability to travel to various states