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Full-Time

Clinical Network Lead

Central Region

Posted on 6/27/2024

Signify Health

Signify Health

1,001-5,000 employees

Facilitates value-based care programs in healthcare

Data & Analytics
Hardware
Fintech
Financial Services

Compensation Overview

$97k - $161kAnnually

+ Incentive Compensation + Equity

Junior

Remote in USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Communications
Requirements
  • Board-certified Adult, Family, or Geriatric Nurse Practitioner, Physician’s Assistant, Board Certified, or Physician (MD/DO)
  • State license (unencumbered) required; no history of prior license actions or board-ordered restrictions that would prevent obtaining licensure in additional states upon request
  • Current credentialing with Signify Health or ability to obtain credentialing within one month of hire
  • 2 or more years of experience conducting health risk evaluations
  • 2 or more years of clinical experience pertinent to the member population(s) in which oversight is provided
  • Experience with people leadership or managing teams
  • Demonstrated clinical and documentation skills
  • Excellent verbal and written communication skills, fluently speak, read, and write in English
  • Ability to adapt to rapidly changing business needs and tolerance for ambiguity
  • Ability to identify, analyze, and resolve business issues through solution-oriented projects
  • Ability to effectively navigate difficult conversations with high level of empathy and professionalism
  • Ability to respond and prioritize internal and external business requests with urgent deadlines
  • Ability to work well with diverse team members of various backgrounds and experience levels
  • Basic skills in MS Office; moderate skills in Google Suite; proficient navigation of spreadsheets
  • Effective calendar management - ability to plan out monthly schedule in order to meet monthly productivity expectations
  • Possess knowledge of health risk evaluations including HEDIS, stars, and risk-adjustment
  • Ability to travel to various states in your region give or take 25% of time
Responsibilities
  • Responsible for ownership and development of Signify/provider relationship for all 1099 providers within a designated region from Day 91 onward, throughout their tenured contracted affiliation with Signify Health.
  • Proactive clinical network engagement and recognition, as well as, targeted coaching and ongoing performance monitoring of 1099 Physicians, Nurse Practitioners, and Physician Assistants within a designated region.
  • Utilize assigned intervention target data provided by the Operational Association to perform small group and individual coaching to providers who are not performing to Signify Health standards with a goal to effectively facilitate positive change in performance.
  • Perform comprehensive, as well as, targeted review of clinical documentation in order to identify appropriate coaching opportunities with follow-up 1:1 coaching.
  • Perform in-person and virtual ride alongs with providers.
  • Identify and promptly escalate providers with potential compliance or continued quality concerns.
  • Maintain accurate and timely documentation of actions and interventions in Salesforce.
  • Collaborate with multiple departments to address and ensure high-value services within the provider network.
  • Collaborate with relevant internal stakeholders to ensure a high quality provider experience.
  • Participate in staff meetings, conference calls, and other meetings as needed.
  • Provide urgent or emergent support to field providers in real time.
  • Attend training sessions to acquire/enhance skills related to programs offered.
  • Actively participate in committees, webinars, and other special projects.
  • Complete reports/projects/tasks as requested by the Senior Regional Manager.
  • Ability to travel up to 25% of the time including ad hoc travel as needed:
  • Complete a minimum of 2 full weeks of in-home evaluations for Signify Health annually in high need areas. Obtain additional state licenses as requested by Signify Health.
  • Complete regional tours which includes consecutive days of in-field ride alongs and hosting of office hours/dinner events within the assigned region; minimum travel requirements subject to change depending on business needs.
  • Host Regional Provider focused events and give formal presentations to provider network
  • Required to complete minimum prescribed coaching interventions as defined by the business needs. The minimum requirements may fluctuate to accommodate business needs.
  • Provide cross-regional and cross-discipline coverage assistance as needed.
  • Perform other incidental and related duties as assigned.

Signify Health aims to improve healthcare through value-based care, enhancing patient outcomes while managing costs. They connect health plan members, payors, providers, and community organizations using a platform that integrates technology and data analytics to support value-based payment programs. Their business model focuses on providing tools and services that help assess risk and drive better patient care by aligning financial incentives with health outcomes. The goal is to create a more efficient healthcare system that leads to healthier and happier patients.

Company Stage

N/A

Total Funding

$150.3M

Headquarters

Dallas, Texas

Founded

2017

Growth & Insights
Headcount

6 month growth

4%

1 year growth

11%

2 year growth

11%
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Simplify's Take

What believers are saying

  • Signify Health's recent expansion into in-home diagnostic services, such as heart arrhythmia and kidney health evaluations, showcases its commitment to comprehensive patient care.
  • The partnership with UConn Health and the launch of an international hub in Galway City highlight the company's strategic growth and global reach.
  • Signify Health's integration into CVS Health's broader value-based strategy provides stability and significant growth opportunities.

What critics are saying

  • The competitive landscape in value-based care and healthcare technology is intense, requiring continuous innovation to maintain a competitive edge.
  • The integration of new services and partnerships, such as those with UConn Health and CVS Health, may pose operational challenges.

What makes Signify Health unique

  • Signify Health's focus on value-based care sets it apart from traditional fee-for-service models, aligning financial incentives with patient outcomes.
  • Their robust platform integrates technology, data analytics, and extensive networks to bridge the gap between payors and providers, enhancing patient care.
  • The company's leadership team brings diverse expertise from healthcare, technology, data science, and consumer engagement, driving innovation in healthcare models.
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