Manager of Clinically Integrated Network Growth - Somerset, NJReq #:0000157539

Category:Professional / Management

Status:Full-Time

Shift:Day

Facility:RWJBarnabas Health Corporate Services

Department:Accountable Care Organization

Location:

SBC Corporation, Somerset, Somerset, NJ 08873

Job Overview:

We are looking for a Manager of Clinically Integrated Network Growth to expand the RWJBH Clinically Integrated Network (CIN). The role will be to seek new business opportunities by contacting and developing relationships with potential physician practices to join the RWJBH value-based programs.

The candidate must have a strong understanding of value-based and quality incentive programs. To be successful in this role, the candidate should have previous experience developing a strong pipeline of practice leads. The candidate will use communication skills to cultivate strong relationships with physicians, from first contact through credentialing and into final integration. The candidate will also maintain relationships once the practice is fully integrated. Upon growth of the CIN, this person may have additional responsibilities associated with managing a team for on-boarding and other administrative responsibilities.

Qualifications:

Required:

• Bachelors Degree is required

• At least 5 years healthcare experience

• Must have a valid driver s license

• Must be able to travel to all counties that cover RWJBH territory up to 75% of the time

Preferred:

• Master s degree preferred

• Previous experience maintaining and documenting physician outreach on a PRM tool (Salesforce, Marketware, Evariant, etc.)

Essential Functions:

• Lead the Clinically Integrated Network Growth strategy for the System. Partner with RWJBH Business Development & Physician Recruitment team to identify the top-tier health care provider to be aligned through the CIN.

• Develop a pipeline of opportunities through market research, utilization data, and partnering with Planning & Strategy team.

• Provide value proposition to the prospective Clinically Integrated Network Providers; including but not limited to the value-based programs RWJBH participates, utilization of Medical Neighborhood, and Group Purchasing Options.

• Ensure the Clinically Integrated Network participants are aligned with their focus to improve value-based performance in both utilization and quality metrics.

• Have strong knowledge of the CIN and the value-based programs.

• Remain current on the physician market in relation to the RWJBH s coverage area, with the flexibility to travel up to 75% of the time within RWJBH Network area.

• Understanding of referral patterns and healthcare system utilization, utilizing Tableau and other planning tool.

• Ability to interpret complex claims data and quality reports from various payers.

• Manage the on-boarding/administrative team to bring physician into Clinically Integrated Network to ensure the Physician/Practices are joining to the network seamlessly for all the applicable payers/programs.

• Lead the Clinically Integrated Network Management Committee meeting.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.

Additional Information:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)

• Medical and Prescription Drug Insurance

• Dental and Vision Insurance

• Retirement Plans

• Short & Long Term Disability

• Life & Accidental Death Insurance

• Tuition Reimbursement

• Health Care/Dependent Care Flexible Spending Accounts

• Wellness Programs

• Voluntary Benefits (e.g., Pet Insurance)

• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer