Position Overview:
The Clinical Network Lead, Development is responsible for clinical and operational leadership and strategic oversight of Signify Health’s 1099 provider network (tenured) conducting virtual and in-home health risk evaluations. This is a remote based position with regional travel requirements (see details below).
*Candidates must reside and be licensed in one of the states in Signify Health’s Western Region which includes the following: AZ, AK, CA, CO, NV, NM, UT, OK, TX, OR, ID, WY, WA, MT, ND, SD
Essential Job Responsibilities:
- Responsible for ownership and development of Signify/provider relationship for all 1099 providers within a designated region from Day 91 onward, throughout their tenured contracted affiliation with Signify Health.
- Proactive clinical network engagement and recognition, as well as, targeted coaching and ongoing performance monitoring of 1099 Physicians, Nurse Practitioners, and Physician Assistants within a designated region.
- Utilize assigned intervention target data provided by the Operational Association to perform small group and individual coaching to providers who are not performing to Signify Health standards with a goal to effectively facilitate positive change in performance.
- Perform comprehensive, as well as, targeted review of clinical documentation in order to identify appropriate coaching opportunities with follow-up 1:1 coaching.
- Perform in-person and virtual ride alongs with providers.
- Identify and promptly escalate providers with potential compliance or continued quality concerns.
- Maintain accurate and timely documentation of actions and interventions in Salesforce.
- Collaborate with multiple departments to address and ensure high-value services within the provider network.
- Collaborate with relevant internal stakeholders to ensure a high quality provider experience.
- Participate in staff meetings, conference calls, and other meetings as needed.
- Provide urgent or emergent support to field providers in real time.
- Attend training sessions to acquire/enhance skills related to programs offered.
- Actively participate in committees, webinars, and other special projects.
- Complete reports/projects/tasks as requested by the Senior Regional Manager.
- Ability to travel up to 50% of the time including ad hoc travel as needed:
- Complete a minimum of 2 full weeks of in-home evaluations for Signify Health annually in high need areas. Obtain additional state licenses as requested by Signify Health.
- Complete regional tours which includes consecutive days of in-field ride alongs and hosting of office hours/dinner events within the assigned region; minimum travel requirements subject to change depending on business needs.
- Host Regional Provider focused events and give formal presentations to provider network
- Required to complete minimum prescribed coaching interventions as defined by the business needs. The minimum requirements may fluctuate to accommodate business needs.
- Provide cross-regional and cross-discipline coverage assistance as needed.
- Perform other incidental and related duties as assigned
Working Conditions Include:
- Fast-paced environment
- Work effectively with frequent interruptions
- Available to work Signify Health normal business hours of M-F 8:00 AM - 5:00 PM CST; additional hours may be required to meet project deadlines as needed
- Must be available for occasional evening and weekend calls
- Requires working at a desk with regular use of computer and headset in a dedicated, private work area free from distractions
- Lifting requirements of 20 pounds occasionally unassisted
- Must be able to do frequent air travel
- Frequent overnight hotel stays required
- Driver’s license must be in good standing with the ability to travel by vehicle
Education & Licensing Requirements:
- Board-certified Adult, Family, or Geriatric Nurse Practitioner, Physician’s Assistant, Board Certified, or Physician (MD/DO)
- State license (unencumbered) required; no history of prior license actions or board-ordered restrictions that would prevent obtaining licensure in additional states upon request
- Current credentialing with Signify Health or ability to obtain credentialing within one month of hire
*Candidates must reside and be licensed in one of the states in Signify Health’s Western Region which includes the following: AZ, AK, CA, CO, NV, NM, UT, OK, TX, OR, ID, WY, WA, MT, ND, SD
Essential Experience:
- Minimum 2 years of experience conducting health risk evaluations, preferred
- Minimum 2 years of clinical experience pertinent to the member population(s) in which oversight is provided
- Experience managing teams, preferred
- Experience with remote employees, preferred
Essential Skills Characteristics:
- Fluently speak, read, and write English
- Excellent clinical and documentation skills
- Ability to obtain proficiency with the Signify Health in-home evaluation (IHE) application and the IHE process within 3 months of hire
- Excellent oral and written communication skills; previous public speaking experience preferred
- Ability to adapt to rapidly changing business needs
- Ability to identify, analyze, and resolve business issues through solution-oriented projects
- Demonstrated customer service acumen
- Willingness to promote corporate goals and objectives to the provider network and Signify Health staff
- Ability to effectively navigate difficult conversations with high level of empathy and professionalism
- Ability to perform in a high-pressure environment and/or crisis situation and render good decisions to resolve problems
- Ability to respond and prioritize internal and external business requests with urgent deadlines
- Proven ability to prioritize and multitask
- Demonstrated ability to achieve results through team efforts.
- Ability to work well with diverse team members of various backgrounds and experience levels.
- Basic skills in MS Office; moderate skills in Google Suite; proficient navigation of spreadsheets
- Ability to effectively direct and oversee the work of others remotely
- Ability to develop, read, analyze, and interpret complex documents
- Possess critical thinking skills
- Possess strong attention to detail and organization
- Practices effective calendar management; ability to plan out monthly schedule in order to meet monthly productivity expectations
- Possess knowledge of health risk evaluations including HEDIS, stars, and risk-adjustment
- Prior knowledge or experience with oversight of 1099 contractors (preferred)
Other Attributes we look for:
- Strategic thinker
- Results driven
- Detail-oriented
- Self-directed and organized
- Sound judgment in handling/escalating difficult situations
- Sense of urgency
- Good interpersonal and conflict resolution skills
- Discrete (i.e., ability to maintain confidentiality)
- Team player
- Ability to work under pressure and with short deadlines
- Ability to take direction
The base salary hiring range for this position is $90,000 to $140,000. Compensation offered will be determined by factors such as location, level, job-related knowledge, skills, and experience. Certain roles may be eligible for incentive compensation, equity, and benefits.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. Eligible employees may enroll in a full range of medical, dental, and vision benefits, 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also offer education assistance, free development courses, paid time off programs, paid holidays, a CVS store discount, and discount programs with participating partners.
About Us:
Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals’ clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we’re able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.
Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify’s intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.
To learn more about how we’re driving outcomes and making healthcare work better, please visit us at www.signifyhealth.com.
Diversity and Inclusion are core values at Signify Health, and fostering a workplace culture reflective of that is critical to our continued success as an organization.
We are committed to equal employment opportunities for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.
Helpful Links to check out:
Signify Culture
The Signify Story
Check Out The Signify Blog
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