Manager, Market Operations

Description

The Why Behind Wellvana:  

The healthcare system isn’t designed for health. We’re designed to change that.  We’re Wellvana, and we help doctors deliver life-changing healthcare.   

Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.  

Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing. 

Named a 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.  

Clarity on the Role

The Market Manager will report to the Market President, Health Systems, and is responsible for driving day-to-day performance of Wellvana’s value-based services and technology for a large group partner practices. The Market Manager owns the day-to-day relationship management, coordinates all necessary deployment logistics, manages performance on KPIs and otherwise serves as the point of contact for network for approximately 50 or more practices participating in one or more of Wellvana’s value-based care agreements.

What's Expected

• Builds and maintains key relationships inside of providers and their staff to enable successful delivery of services, technology and results through high quality education, excellent communication and disciplined operating rigorous daily tasks.
• Meets with all managed practices no less than monthly and prepares all necessary documents and summaries to support operational and financial reviews with partner practices.
• Oversees daily, weekly and monthly KPIs pertaining to the practice’s performance on value-based KPIs.
• Oversees productivity and quality metrics associated with all of Wellvana’s operational services; coordinates with Wellvana’s outreach/scheduling, clinical documentation, education and care managements teams to ensure in-process metrics, productivity and quality are being met.
• Reviews coding, claims, utilization, clinical and quality data from contracts and effectively communicate opportunities for improvement to network practices.  Supports AVP, Market Operations to build and execute improvement plans at both the market and practice level based on areas of opportunity identified.
• Identifies and supports key action plans for performance escalations in partnership with their AVP, Matket Operations; will be directly responsible for any activities that require on-premise practice support or action.
• Responsible for meeting and exceeding field engagement metrics, measuring the compliance and utilization of each practice with Wellvana’s core services and technology.
• Delivers, monitors and manages daily and weekly value-based interventions across their practices – including patient scheduling, risk adjustment accuracy, support of remote care programs, and utilization of value-based technology. 
• Responsible for set-up and maintenance of on-premise training materials, collateral, brand content and displays for all practices.
• Supports practice onboarding and implementation of Wellvana’s core services and technology. 
• Provides input to AVP, Market Operations on regional needs for specialty, post-acute, behavioral health networks.
• Perform other job duties as assigned.

Requirements

• Experience with Managed Service Organizations preferred (ACO, DCE, Medicare Advantage, Medicare Shared Savings Program, etc).
• Education (Degree/Major): Bachelors degree in healthcare related field
• Certifications: Clinical certification preferred 

Years of Related Experience

• At least 5+ years of clinical experience in a hospital, skilled nursing facility, home health, or physician office setting.  Prefer experience in case management, care coordination, nursing, medical coding/auditing or healthcare administration.  
• At least 3-5 years of collaborating and working with physicians, overseeing and directing healthcare programs, earning patient/provider/customer trust, and delivering value. 

Skills

• Proficient in MS Office applications and ability to learn dep