Manager of Clinically Integrated Network Growth - Somerset, NJ
Apply NowCompany: RWJBarnabas Health
Location: Somerset, NJ 08873
Description:
Job Overview:
We are looking for a Manager of Clinically Integrated Network Growth to expand the RWJBH Clinically Integrated Network (CIN). The role will be to seek new business opportunities by contacting and developing relationships with potential physician practices to join the RWJBH value-based programs.
The candidate must have a strong understanding of value-based and quality incentive programs. To be successful in this role, the candidate should have previous experience developing a strong pipeline of practice leads. The candidate will use communication skills to cultivate strong relationships with physicians, from first contact through credentialing and into final integration. The candidate will also maintain relationships once the practice is fully integrated. Upon growth of the CIN, this person may have additional responsibilities associated with managing a team for on-boarding and other administrative responsibilities.
Qualifications:
Required:
Preferred:
Essential Functions:
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.
We are looking for a Manager of Clinically Integrated Network Growth to expand the RWJBH Clinically Integrated Network (CIN). The role will be to seek new business opportunities by contacting and developing relationships with potential physician practices to join the RWJBH value-based programs.
The candidate must have a strong understanding of value-based and quality incentive programs. To be successful in this role, the candidate should have previous experience developing a strong pipeline of practice leads. The candidate will use communication skills to cultivate strong relationships with physicians, from first contact through credentialing and into final integration. The candidate will also maintain relationships once the practice is fully integrated. Upon growth of the CIN, this person may have additional responsibilities associated with managing a team for on-boarding and other administrative responsibilities.
Qualifications:
Required:
- Bachelors Degree is required
- At least 5 years healthcare experience
- Must have a valid driver's license
- Must be able to travel to all counties that cover RWJBH territory up to 75% of the time
Preferred:
- Master's degree preferred
- Previous experience maintaining and documenting physician outreach on a PRM tool (Salesforce, Marketware, Evariant, etc.)
Essential Functions:
- Lead the Clinically Integrated Network Growth strategy for the System. Partner with RWJBH Business Development & Physician Recruitment team to identify the top-tier health care provider to be aligned through the CIN.
- Develop a pipeline of opportunities through market research, utilization data, and partnering with Planning & Strategy team.
- Provide value proposition to the prospective Clinically Integrated Network Providers; including but not limited to the value-based programs RWJBH participates, utilization of Medical Neighborhood, and Group Purchasing Options.
- Ensure the Clinically Integrated Network participants are aligned with their focus to improve value-based performance in both utilization and quality metrics.
- Have strong knowledge of the CIN and the value-based programs.
- Remain current on the physician market in relation to the RWJBH's coverage area, with the flexibility to travel up to 75% of the time within RWJBH Network area.
- Understanding of referral patterns and healthcare system utilization, utilizing Tableau and other planning tool.
- Ability to interpret complex claims data and quality reports from various payers.
- Manage the on-boarding/administrative team to bring physician into Clinically Integrated Network to ensure the Physician/Practices are joining to the network seamlessly for all the applicable payers/programs.
- Lead the Clinically Integrated Network Management Committee meeting.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.