WelbeHealth - Sacramento, CA
posted 2 months ago
The AVP, Network Access at WelbeHealth is a pivotal role responsible for ensuring optimal access to care and enhancing the network partner experience across the WelbeHealth PACE program nationally. This position is designed for a dynamic leader who will implement a unique approach to network contracting and payment operations, aligning with the core principles of the PACE philosophy. The role requires the design, construction, and maintenance of compliant, multi-state networks and payment operations that support the enterprise goals of patient experience and quality care. In this role, the AVP will be accountable for network access and quality, as well as the performance of payments processing and plan operations. The individual will be tasked with developing a national network development strategy, overseeing complex executive negotiations, and engaging in strategic business development efforts. This includes creating the necessary infrastructure to support high-quality networks across multiple states, ensuring access to all WelbeHealth programs. The AVP will also be responsible for exceeding key performance indicators through a network and plan operations model that balances a local-first approach with scalability, compliance, satisfaction, financial outcomes, and consistency. Additionally, the AVP will champion a provider service-centric approach, fostering an ownership mindset that delivers a seamless experience and drives value. The role involves developing strategic initiatives aimed at increasing participant census growth and maintaining enrollment through innovative and high-quality delivery models. The AVP will also cultivate and guide a high-performance team, ensuring consistency in meeting goals and promoting cross-functional partnerships and individual/team satisfaction.