WelbeHealth - Washington, DC
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 AVP will be tasked with creating scalable and replicable strategies that can adapt to diverse regions, market dynamics, and service types. This includes the design, construction, and maintenance of compliant, multi-state networks and payment operations that support the enterprise goals of improving patient experience and delivering 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 be responsible for developing and executing a national network development strategy, engaging in high-level executive negotiations, and spearheading strategic business development efforts. The AVP will also need to cultivate the necessary infrastructure to support high-quality networks across multiple states, ensuring access to all WelbeHealth programs. The AVP will strive to exceed key performance indicators through a network and plan operations model that balances a local-first approach with scalability, compliance, satisfaction, financial outcomes, and consistency. A provider service-centric approach will be championed, fostering an ownership mindset that drives a seamless experience and adds value. Additionally, the AVP will develop strategic initiatives aimed at driving participant census growth and sustained enrollment through innovative and high-quality delivery models. Leading a high-performance team that consistently meets goals and collaborates cross-functionally will also be a key responsibility of this role.