Engagement Manager – Provider Network Management

Job Description: • Cultivate strong, consultative relationships with assigned risk-bearing provider networks to drive engagement and meet client needs. • Educate and support providers in navigating UM processes, including prior authorizations, medical necessity reviews, and evidence-based care guidelines. • Serve as a key liaison between providers and the UM team, ensuring clear communication, issue resolution, and ongoing support. • Act as the in-market expert by managing implementation, education, and continuous engagement for referral benefits and workflows. • Collaborate with internal teams to execute engagement plans, deliver provider education, and analyze data to identify opportunities for intervention and improvement. • Serve as an in-market expert, build relationships with key stakeholders, and promote WellSky solutions at clinical summits, town halls, and provider meetings. • Provide regular updates on provider engagement performance, program feedback, and market insights to internal teams and clients. • Partner with marketing and operational teams to create educational and promotional materials supporting provider engagement efforts. • Monitor provider performance and engagement trends, analyzing UM-related data to identify opportunities for intervention, workflow optimization, and improved patient outcomes. • Perform other job duties as assigned. Requirements: • At least 4-6 years relevant work experience. • Bachelor's Degree or equivalent work experience. • Proven ability to engage, educate, and influence healthcare providers in a healthcare or relevant domain preferably in a UM or care management setting. • Strong understanding of Utilization Management principles, payer-provider dynamics, and prior authorization workflows. • Experience in provider education, network engagement, or compliance monitoring. • Ability to analyze data to drive strategic engagement. • Experience articulating scorecards, performance metrics, and provider outreach strategies. • Experience in coaching and development of clinical programs to increase provider quality metrics. Benefits: • Excellent medical with Rx, dental, and vision benefits • Mental Health support through EAP • Generous paid time off, plus 13 paid holidays • 100% vested 401(K) retirement plans • Educational assistance up to $2500 per year