Manager, Network Management

Company: Oak Street Health
Location: Chicago
Posted on: January 28, 2025

Job Description:

Company: Oak Street HealthTitle: Manager, Network ManagementOak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients' communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.For more information, visit www.oakstreethealth.com.Role Description:At Oak Street, Medical Management is focused on supporting high-quality, cost-effective care outside the four walls of primary care clinics. This involves a deep understanding of value-based care, specifically full-risk / capitated arrangements, along with the managed care levers available to drive superior clinical and financial results.The Manager, Network Management will be instrumental in building and managing collaborative partnerships with high-volume acute hospitals, skilled nursing facilities, inpatient rehabilitation facilities, long-term acute care hospitals, home health agencies, and inpatient staffing agencies. They will be an effective cross-team leader, working side by side with Treehouse/corporate and field leaders and staff.Content areas for the Manager will include, but not be limited to, value-based care, acute and post-acute care, contracting, relationship management, transitional care, utilization management, and care management. This will require building relationships with internal and external executive leaders, outlining collaborative structures with clear roles and responsibilities, managing performance, and ensuring our collaborative partnerships generate shared clinical and financial value for all stakeholders, especially our patients.This is a fast-paced, high visibility role to ensure that we are driving innovation and improvement rapidly and consistently within Oak Street Health and CVS Healthspire's Risk Bearing Entity.This role reports up through the Healthcare Delivery organization at CVS Health and will work closely with leaders across Oak Street Health, the Risk Bearing Entity, and the broader CVS enterprise.Core Responsibilities:

• Serve as primary lead / point of contact for developing collaborative relationships with high-volume acute hospitals, skilled nursing facilities, inpatient rehabilitation facilities, long-term acute care hospitals, and home health agencies.
• Serve as external champion of Oak Street Health and CVS Healthspire, able to clearly describe the value proposition of the Healthcare Delivery organization.
• Manage end-to-end relationship management process including:
  • Identifying and prioritizing prospects.
  • Crafting a clear pitch based on shared needs / value.
  • Driving alignment and formalization of division of responsibilities, including partnering with Legal team on agreements (LOIs, MOUs, contracts) as needed.
  • Supporting implementation and go-live readiness.
  • Managing performance and iterative feedback.
  • Develop and maintain structured internal tracking system to organize numerous active partnership processes at once and facilitate regular reporting on statuses/progress.
  • Partner with key internal stakeholders on transitional care and utilization management teams to drive successful care coordination activities.
  • Work side by side with Oak Street, RBE, CVS leaders to ensure effective implementation of clinical and business priorities.
  • Accountability to key medical management metrics, including quality measures, utilization measures, and financial measures.
  • Other duties, as assigned.What are we looking for?
    • 5-7 years of applicable experience in healthcare / population health / working with healthcare providers in a relationship management function (e.g., business development); or other similar fields.
      • Inpatient care delivery experience (clinical, such as case management, or administrative) a bonus.
      • Existing relationships with major health systems across U.S. a bonus.
      • Ability to build the trust and confidence of a wide range of stakeholders, including C-Suite health system / provider executives.
      • Strong leadership skills and strong influencing skills.
      • Incredible level of organization and detail orientation.
      • Analytical and data savvy. Ability to develop business cases, ROI analysis, and financial analysis.
      • Someone who connects the dots between teams - a proactive communicator who puts individual projects into broader organizational objectives.
      • Expert in MS Office, Google Apps, project management software.
      • Pleasantly persistent approach.
      • Humility.
      • Quick learner comfortable with a high level of ambiguity and independence.
      • Graduate degree preferred but not required (MBA, MPH).
      • Bachelor's degree required.
      • Someone that embodies being Oaky.
      • Willingness to travel (up to 25% of the time).What does being Oaky look like?
        • Radiating positive energy.
        • Assuming good intentions.
        • Creating an unmatched patient experience.
        • Driving clinical excellence.
        • Taking ownership and delivering results.
        • Being scrappy.Why Oak Street?Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:
          • Collaborative and energetic culture.
          • Fast-paced and innovative environment.
          • Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits.Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.
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Keywords: Oak Street Health, Milwaukee , Manager, Network Management, Executive , Chicago, Wisconsin