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Market Success Manager

1 month ago

Jacksonville, United States Bright Health Full time

We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all. We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth's Affiliate 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 Affiliate Management team ensures that our providers succeed in a value-based care environment. The Market Success Manager for ACO partners, including ACO REACH, is a key member of the Affiliate Management team, reporting to the Director of Market Success. This role supports the ongoing implementation and performance of our managed services business and affiliate physician partnerships across multiple markets and regions. 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. This role will directly support partnerships and clients with a strong focus on performance management, in partnership with NeueHealth teams and will manage the performance of ACO partners, including REACH, partners' value-based contracts. This role will be responsible for timely and accurate implementation of delegated services to clients, escalating risks and coming up with creative, workable solutions that meet clients' needs. Manage and track client issues, and coordinate with internal teams to provide scalable solutions. 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, this 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. Ideally they have managed provider partnerships and value-based care contracts before; can anticipate what might go wrong and proactively optimize solutions to consider needs of multiple stakeholders. Consistently listen before acting; lead with accountability; and engage with an attention to detail. ROLE RESPONSIBILITIES 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 NeueHealth. Serve as conduit for all network activities with NeueHealth on behalf of the affiliate providers including risk adjustment, quality gap closure, member engagement, and network design. Foster and coordinate affiliate provider and NeueHealth leadership touchpoints. EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE Bachelor's degree. Three (3)+ years of experience managing provider or payer entities in value-based contracts, including ACO experience, is required. 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. Experience with Excel is a must have, and Power BI is preferred. EZ Cap experience is a nice to have. PROFESSIONAL COMPETENCIES Strong communication skills, both verbal and written. Strong teamwork orientation, both internally with matrixed teams and externally with client organizations. Organized and 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 understands 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. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, 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. #J-18808-Ljbffr