WellSky

Connected care. Smarter care.

Engagement Manager – Provider Network Management

ManagerManagerFull TimeRemoteTeam 1,001-5,000Since 1980H1B SponsorCompany SiteLinkedIn

Location

Texas

Posted

44 days ago

Salary

Not specified

Bachelor Degree4 yrs expEnglish

Job Description

• Cultivate strong, consultative relationships with assigned risk-bearing provider networks to drive engagement and meet client needs. • Educate and support providers in navigating UM processes, including prior authorizations, medical necessity reviews, and evidence-based care guidelines. • Serve as a key liaison between providers and the UM team, ensuring clear communication, issue resolution, and ongoing support. • Act as the in-market expert by managing implementation, education, and continuous engagement for referral benefits and workflows. • Collaborate with internal teams to execute engagement plans, deliver provider education, and analyze data to identify opportunities for intervention and improvement. • Serve as an in-market expert, build relationships with key stakeholders, and promote WellSky solutions at clinical summits, town halls, and provider meetings. • Provide regular updates on provider engagement performance, program feedback, and market insights to internal teams and clients. • Partner with marketing and operational teams to create educational and promotional materials supporting provider engagement efforts. • Monitor provider performance and engagement trends, analyzing UM-related data to identify opportunities for intervention, workflow optimization, and improved patient outcomes. • Perform other job duties as assigned.

Job Requirements

  • At least 4-6 years relevant work experience.
  • Bachelor's Degree or equivalent work experience.
  • Proven ability to engage, educate, and influence healthcare providers in a healthcare or relevant domain preferably in a UM or care management setting.
  • Strong understanding of Utilization Management principles, payer-provider dynamics, and prior authorization workflows.
  • Experience in provider education, network engagement, or compliance monitoring.
  • Ability to analyze data to drive strategic engagement.
  • Experience articulating scorecards, performance metrics, and provider outreach strategies.
  • Experience in coaching and development of clinical programs to increase provider quality metrics.

Benefits

  • Excellent medical with Rx, dental, and vision benefits
  • Mental Health support through EAP
  • Generous paid time off, plus 13 paid holidays
  • 100% vested 401(K) retirement plans
  • Educational assistance up to $2500 per year

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