Manager of Clinically Integrated Network

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.

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 :

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

Essential Functions :

• Collaborate with leadership on developing and implementing a CIN growth strategy
• Grow CIN membership by identifying practices based on quality metrics that would be positive additions to the CIN
• Develop a pipeline of opportunities through market research
• Review value-based contracts with providers and discuss the benefits of CIN membership
• Collaborating with Population Health team on value-based initiatives
• 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
• Understanding of referral patterns and healthcare system utilization
• Ability to interpret complex claims data and quality reports from various payers

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.