Full-Time

Clinical Network Lead

Posted on 4/16/2024

Signify Health

Signify Health

1,001-5,000 employees

Provides value-based healthcare solutions

Data & Analytics

Compensation Overview

$97,000 - $161,000Annually

+ Incentive Compensation + Equity

Senior

Wichita, KS, USA

Required Skills
Communications
Salesforce
Requirements
  • Board-certified Adult, Family, or Geriatric Nurse Practitioner, Physician's Assistant, Board Certified, or Physician (MD/DO)
  • State license (unencumbered) required
  • 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 managing teams
  • Experience with remote employees
  • Fluently speak, read, and write in English
  • Excellent verbal and written communication skills
  • 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 perform in a high-pressure environment and/or crisis situation and render good decisions to resolve problems
  • Ability to respond and prioritize internal and external business requests with urgent deadlines
  • Proven ability to prioritize and multitask
  • 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
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 50% 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 offers a collaborative environment that focuses on enhancing healthcare efficiency by integrating advanced analytics and technology. This company stands out due to its dedicated approach to transitioning healthcare services to the home, coordinating a broad spectrum of clinical, social, and behavioral services. The firm's commitment to value-based payment programs demonstrates an alignment with financial incentives and outcomes, making it an industry leader in value-based healthcare solutions.

Company Stage

N/A

Total Funding

$150.3M

Headquarters

Dallas, Texas

Founded

2017

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

-5%