WelbeHealth - Honolulu, HI
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 enterprise goals focused on patient experience and quality care. In this role, the AVP will be accountable for network access and quality, as well as overseeing payments processing and plan operations performance. The individual will design and actualize a national network development strategy, engage in strategic business development efforts, and develop the necessary infrastructure to support high-quality networks across multiple states. 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 scale, compliance, satisfaction, financial outcomes, and consistency. A provider service-centric approach is essential, with an emphasis on delivering a seamless experience that drives value. The AVP will develop strategic initiatives aimed at driving participant census growth and sustained enrollment through innovative and high-quality delivery models. Additionally, the role involves cultivating and guiding a high-performance team known for consistently meeting goals, fostering cross-functional partnerships, and ensuring individual and team satisfaction.