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Healthcare Partnership Success Manager

2 months ago

Jacksonville, Florida, United States Bright Health Full time
Position Overview
We are dedicated to revolutionizing healthcare by prioritizing value-driven practices, ensuring a streamlined, consumer-focused care journey that enhances value for everyone involved.

We firmly believe that every health consumer deserves access to high-quality, coordinated healthcare services.

Our unique approach aligns the interests of health consumers, providers, and payors, making top-tier healthcare accessible and affordable across various populations, including those in the ACA Marketplace, Medicare, and Medicaid.


The Affiliate Management team at Bright Health is tasked with fostering and managing enduring strategic growth, nurturing relationships, and overseeing contractual performance with our clients, which include affiliate providers and medical groups.

Through diverse partnership models, this team guarantees that our providers thrive in a value-based care landscape.


The Market Success Manager for ACO partners, particularly ACO REACH, plays a crucial role within the Affiliate Management team, reporting directly to the Director of Market Success.

This position is instrumental in supporting the ongoing execution and performance of our managed services business and partnerships with affiliate physicians across various markets and regions.


By collaborating with other internal teams (such as Operations, Clinical, Analytics, Contracting, and Finance), this role monitors and assesses the performance of our partners in relation to value-based care contracts, SLAs, and KPIs, while developing the necessary infrastructure to facilitate strategic alignment between Bright Health and our owned clinics and affiliated providers.


This role will actively support partnerships and clients with a strong emphasis on performance management, working closely with Bright Health teams to oversee the performance of ACO partners, including those involved in value-based contracts.


Key responsibilities include ensuring the timely and precise implementation of delegated services to clients, identifying risks, and devising innovative, practical solutions that address client needs.

Manage and resolve client issues while coordinating with internal teams to deliver scalable solutions.

Maintain a high level of client engagement by preparing and leading joint operations meetings with partners, analyzing and presenting actionable performance reports, and striving for enhanced client performance.

As Bright Health expands, this role will also contribute to the development and refinement of market-level performance reporting, provider integration, and clinical workflows and tools.

This position will engage with both internal Bright Health teams and affiliated practices to achieve performance objectives.

Successful candidates will possess a proven history of excelling in dynamic and intricate client-service environments.

Ideally, they will have experience managing provider partnerships and value-based care contracts, with the ability to foresee potential challenges and proactively optimize solutions that consider the needs of various stakeholders.

They will consistently listen before acting, demonstrate accountability, and engage with meticulous attention to detail.

Key Responsibilities
Develop a comprehensive understanding of each assigned partner's operations and structure from implementation through ongoing operations.

Act as the primary contact for daily communications between Bright Health and assigned affiliate providers and local clinical support teams.

Analyze financial, utilization, and population health data to generate actionable insights for local clinical and outreach resources.
Organize and prepare for regularly scheduled leadership meetings.
Facilitate clinical integration activities between affiliate providers and Bright Health.

Serve as the liaison for all network activities with Bright Health on behalf of the affiliate providers, encompassing risk adjustment, quality gap closure, member engagement, and network design.

Encourage and coordinate touchpoints between affiliate provider and Bright Health leadership.

Qualifications

Bachelor's degree.
A minimum of three (3) years of experience managing provider or payer entities in value-based contracts, including ACO experience, is required.
Familiarity with value-based care reimbursement principles, reporting, and analytics.
Experience managing value-based payer contracts and/or delegated services is preferred.
Experience working directly with providers and clinics in delegated service models is advantageous.
Experience in closing quality gaps and working in clinical settings is beneficial.
Proficiency in Excel is essential, and familiarity with Power BI is preferred. Experience with EZ Cap is a plus.

Professional Competencies
Excellent communication skills, both verbal and written.
Strong teamwork orientation, both internally with matrixed teams and externally with client organizations.
Highly organized and capable of prioritizing tasks to meet deadlines.
Ability to work independently with minimal supervision.
Ability to thrive in an unstructured environment.
Understanding of regulatory and compliance rules surrounding enrollment and eligibility.
Results-oriented and detail-focused while maintaining a broader perspective.

Work Environment


Most responsibilities are carried out in an open office setting, involving detailed work at a desk/table and utilizing a computer.

Some travel may be necessary.


As an Equal Opportunity Employer, we embrace and employ a diverse workforce 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.