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Director, Network Management

Everly Health, Inc.
United Statesfull_timeVerifiedPosted 8 Nov 2023

About the role

Everly Health's mission is to transform lives with modern, diagnostics-driven care, and we believe that the future of healthcare is meeting people where they are. Headquartered in Austin, Texas, Everly Health is the parent company to Everlywell, Everly Health Solutions, Natalist, and Everly Diagnostics. We've set a new standard of people-focused, diagnostic-driven care that puts patients at the center of their own health journey.
Our infrastructure guides the full testing experience with the support of a national clinician network that's composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists. Our solutions make world-class virtual care more attainable with rigorous clinical protocols and best-in-class science to tackle some of the healthcare industry's biggest problems.

The Director, Network Management oversees all telehealth clinician network and practice operations at the organization. This individual is responsible for ensuring that contracted providers are supported with the tools and resources needed to remain in compliance and good standing. The department is responsible for recruiting, credentialing, licensing, training, and maintenance of our nationwide and international network. Additionally, the team oversees all quality metrics and patient and provider feedback initiatives. The Director, Network Management will play an integral role in collaborating with the broader clinical team, product, operations, and all other teams across the organization. Additionally, this person will be a leader in conjunction with the owner of our PC for all of our physicians, nurses, genetic counselors, and other clinicians to help achieve common network goals by ensuring the network is held to the highest standards of quality assurance and best in class patient care.

What You'll Do:

  • CLINICIAN NETWORK MANAGEMENT: Maintenance and advancement of the PWN clinician network (physicians, genetic counselors, and registered nurses) to serve Everly’s present and future needs. This includes recruitment, onboarding, credentialing, training, and performance monitoring.
  • Works in conjunction with the broader team on clinician recruitment, credentialing, licensing, training, and quality assurance of the provider network
  • Ensures a seamless process for the onboarding of newly contracted providers and maintains provider satisfaction
  • Owns responsibility for network development activities, including but not limited to licensure planning, identifying areas for expansion, and cross-functional strategic planning for future business needs
  • Leads all forecasting and capacity planning efforts to ensure adequate network coverage and staffing
  • When required, prepares financial projections and completes analyses as it relates to the functions of the provider network and broader organization impact

  • TELEHEALTH PRACTICE MANAGEMENT: As Everly Health Services serves as the administrative services organization for our independent, affiliated clinician network, the role is responsible for ensuring our practice has the appropriate policies and procedures in place for proper functioning and governance, as well as supporting monitoring and QA.
  • Collaborates with the legal team to ensure compliance with processes, such as contracting guidance, video/phone regulations, and contractor regulations
  • Maintains familiarity and working knowledge of the payor space and complexity involved in contracting and credentialing with payers (e.g., Government, Commercial, & Private payers) & collaborates with Payor Operations to execute payor contracts
  • Collaborates cross-functionally to monitor patient experience and follow-up efforts including but not limited to NPS survey, provider feedback, patient testimonials
  • Serves as a key resource for network and telehealth related inquiries across the organization

  • MAINTAINING & IMPROVING THE TELEHEALTH PRODUCT: Working cross-functionally to maintain & enhance our telehealth product, including working with internal product teams to launch programs, address bugs and feature suggestions, implement and maintain our electronic medical record (EMR) system, and managing telehealth vendors.
  • Works in conjunction stakeholders on new program implementations to ensure a successful launch
  • Workforce planning to support care management & navigation
  • Set up and maintain EMR, including documentation templates, macros, and workflows, to support clinician efficiency

Who You Are:

  • Bachelor’s Degree or equivalent work experience
  • Ten years of healthcare industry required; 5 years of management experience strongly preferred
  • Working knowledge of healthcare industry standards surrounding clinician credentialing, payor enrollment
  • Clinical recruitment and hiring experience required
  • Ability

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Company

Everly Health, Inc.

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