WelbeHealth - Nashville, TN
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 on a national scale. 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, engaging in strategic business development efforts, and creating the necessary infrastructure to support high-quality networks across multiple states. The goal is to ensure access to care across all WelbeHealth programs while exceeding key performance indicators through a model that balances local-first approaches with scalability, compliance, satisfaction, financial outcomes, and consistency. The AVP will also champion a provider service-centric approach, fostering an ownership mindset that drives value and delivers a seamless experience. Additionally, the role involves developing strategic initiatives aimed at driving participant census growth and sustained enrollment through innovative and high-quality delivery models. A significant aspect of this position is cultivating and guiding a high-performance team that consistently meets goals, collaborates cross-functionally, and maintains individual and team satisfaction.