Evolent Health Provider Network Manager in Helana, Montana
This is an unique opportunity to improve the health and wellbeing of millions of Americans!
Founded in 2002, New Century Health has been on the cutting edge of value-based innovation for decades as the nation's foremost specialty care management company, specializing in managing cancer and cardiology patients for both payers and risk-based providers. Formerly backed by Water Street Partners, the company was acquired by Evolent Health in 2018 and has scaled tremendously since.
Specifically, New Century Health provides physicians with clinical decision and population health management tools to ensure that their patients receive the highest quality, most affordable care. These best-in-class tools, which have earned the business URAC accreditation in Health Utilization Management and NCQA accreditation in Utilization Management, consistently drive clinical and financial improvements for the two most complex and expensive diseases in the nation. This commitment to excellence has helped spur our success and put us on track to surpass record-breaking year-over-year growth in the coming years.
Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? Absolutely about 40% in year-over-year revenue growth in 2018. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019, and One of the “50 Great Places to Work” in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
New Century Health merged with Evolent Health in 2018 and continues to lead transformative change in specialty care management as an Evolent company. Within the Evolent ecosystem of provider-centric solutions for value-based care, our New Century Health team focuses on cost and quality improvement for oncology and cardiology specialty care. With more than 15 years of proven results, New Century Health generates insights and drives cutting edge innovation through its clinical capabilities and deep understanding of health care informatics, physician management and health care technology systems development. Together, Evolent and New Century Health are harnessing the power of our combined organizations to improve the health of the nation. Join the New Century Health team and put your passion to work for transforming the U.S. health care landscape for patients, providers, and payers.
What You’ll Be Doing:
The Provider Network Manager is primarily responsible for provider engagement to include contracting, performance management and maintaining positive working relationships with all assigned program participating providers. Serves as the liaison between provider and New Century Health’s internal departments to address and resolve issues, as needed. Conducts provider in-servicing which provides a clear interpretation of organization’s policies and procedures related to various administrative/operations functions. Provides continuous provider education to all network providers. Other responsibilities include:
Responsible for all new market implementation activities related to provider onboarding, to include but not limited to, coordination and facilitation of key provider and or client introductory meetings, and deep-dive markets sessions.
Conducts provider in-services and ongoing provider education/support to network providers and office staff on NCH processes/delivery system and company policies and procedures.
Tightly manages assigned practices relative to provider performance, analyzing network’s quality benchmark results, missed opportunities, cost effectiveness, marketability, stability, and accessibility.
Identifies outliers and works closely with other internal department in strategizing how best to be improve performance while minimizing provider abrasion.
Meets with practice leadership regularly to share performance results, identifies areas of opportunities for both NCH and provider, while deepening relationships at all levels within practice.
Interacts and participates with other departments to accomplish company- wide goals and objectives.
The Experience You’ll Need (Required):
Bachelor’s degree and/or minimum of 4-6 years relevant work experience
Strong background with deep understanding of fundamental operational processes which directly affect providers and organization such as Claims and Prior Authorization
Excellent verbal, writing and presentation skills, and interpersonal skills
Extremely organized and detail oriented with exceptional follow through skills
Ability to multi-task in a fast pace environment; can adapt quickly to change
Ability to influence change in order to improve provider experience
Strong knowledge of Microsoft programs (i.e. Word, Excel, SharePoint)
Ability to travel as needed (% depends on market)
Bilingual English/Spanish preferred
Experience in healthcare administration with strong emphasis in Provider Operations and/or Network Development/Provider Contracting strategies
Strong negotiations skills
Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
Evolent allows employees to work remotely for many of our positions. For those working remotely, we require that all employees have the following technical capability at their home: High speed internet over 10 MBPS and, specifically for all call center employees, the ability to plug in directly to the home internet router.
Evolent Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and federal law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home. Certain jobs require face-to-face interaction with our providers and patients in client facilities or homes. Employees working in such roles will be required to meet our vaccine requirements without exception or exemption.
Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. Evolent Health maintains a drug-free workplace. Evolent has been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts. Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign's Corporate Equality Index, was named on the Best Companies for Women to Advance List 2020 by Parity.org, and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we’re building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
Compensation Range: The typical range of employees within the compensation grade of this position is $70,000 - $90,000. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.