
NeueHealth
Remote Jobs
Driving value in healthcare for all.
16 Jobs
Role Description As a Senior Healthcare Recruiter, you will be responsible for attracting and hiring our greatest asset: high caliber people! When consulting with hiring managers to recruit medical providers (physicians and nurse practitioners), you will manage a full cycle process – sourcing, selection, interviewing, offer negotiations, and the administrative components. Senior Recruiters are adept at setting expectations and guiding hiring teams and business leaders through the hiring process. You will also be accountable for managing interactions with candidates in accordance with employment law and in a manner that fosters transparency, simplicity and respect. This role can be remote in one of our major markets - Dallas, Houston, Miami or Orlando/Clermont. Responsibilities - Function as a key driver of organizational growth through the acquisition of highly qualified and culturally aligned medical provider candidates. - Consult with business leaders and leverage hiring teams to develop and execute effective recruitment strategies. - Own job requisitions, consistently prioritizing and re-prioritizing positions as business needs change. - Partner, influence and educate hiring managers and interviewers on hiring best practices. - Serve as an Employer Brand Champion externally and establish relationships with passive and active candidates, educational institutes, external recruiting resources and various other parties. - Fully utilize the ATS and other HRIS tools to ensure compliance and fair hiring practices. - Continuously identify and proactively improve processes in an effort to positively impact department KPIs. - Bring an innovative lens to the process by leveraging tools to continuously recruit top talent and remain competitive in the marketplace. - Drive and participate in broader talent acquisition projects. - Other duties and responsibilities as assigned. Qualifications - Bachelor's Degree or equivalent experience required. - Six (6) years of recruiting experience is required, preferably in a healthcare setting such as primary care clinics. - Three (3) years of experience recruiting medical providers is required, preferably primary care physicians and nurse practitioners. - Experience in agency and corporate settings is preferred. - Knowledge of value-based care is preferred. - Bilingual in English and Spanish is highly preferred. Professional Competencies - Excellent verbal and written communication skills. - Strong level of professional service and follow-through in a confidential manner. - Proficient in Microsoft Office suite (Word, PowerPoint, Excel, Outlook, etc.) and a modern ATS (Greenhouse). - High sense of urgency and results orientation. - Strong judgment and decision making/analysis skills. - Strong relationship building and teamwork orientation. - High detail-orientation and commitment to quality work products. - Self-motivated, organized, efficient and process-oriented. - Flexible and resourceful – able to manage last minute changes/requests and unexpected challenges. Company Description NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. Job Summary: The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members under a managed care health plan. This role involves assessing inpatient admission and continued stays, coordinating with healthcare providers, facilitating communication with payers, and ensuring compliance with health plan policies and clinical guidelines. The UR Nurse collaborates with the Medical Director and clinical leadership for complex cases, denials, and escalated reviews. Key Responsibilities: 1. Concurrent Review & Case Assessment - Conduct timely reviews of inpatient and skilled nursing services to determine medical necessity and appropriateness based on established clinical guidelines (e.g., InterQual, MCG). - Evaluate clinical documentation to support level-of-care determinations, treatment plans, and continued hospital stays. - Ensure adherence to health plan policies, clinical criteria, and regulatory requirements. 2. Collaboration with Medical Director - Review and escalate complex or borderline cases to the Medical Director for further assessment. - Provide the Medical Director with comprehensive clinical summaries, including case history, treatment plans, and justifications for continued care or level-of-care decisions. - Collaborate with the Medical Director to develop treatment recommendations and resolve discrepancies in care. 3. Authorization & Payer Communication - Process authorization requests for inpatient hospital admissions, LTAC, inpatient rehab, and skilled nursing admissions. - Communicate with healthcare providers to request additional documentation or clarify treatment plans. - Ensure timely approvals or denials of requested services per the health plan’s benefit structure and clinical guidelines. - Escalate cases to the Medical Director or higher clinical authority when necessary. 4. Care Coordination & Discharge Planning Support - Work closely with case managers, social workers, and care teams to facilitate seamless care transitions. - Participate in interdisciplinary discussions to address complex cases and ensure members receive appropriate care. - Identify and escalate discharge barriers to support timely and effective discharge planning. - Assist in transitioning patients from inpatient to outpatient or post-acute care settings. 5. Compliance & Documentation - Ensure compliance with state and federal regulations, accreditation standards (e.g., NCQA, URAC), and health plan policies. - Maintain accurate, up-to-date documentation of all concurrent review activities, including authorizations, denials, escalations, and Medical Director reviews. - Support quality improvement initiatives by tracking utilization trends and identifying resource optimization opportunities. 6. Education & Collaboration - Educate providers and staff on health plan clinical guidelines, medical necessity criteria, and authorization processes. - Provide guidance on escalating complex cases to the Medical Director. - Stay updated on industry trends, regulatory changes, and best practices in utilization management. - Participate in interdisciplinary team meetings and case conferences. Qualifications: - Education: Registered Nurse (RN) or Licensed Vocational/Practical Nurse (LVN/LPN) with an active, unrestricted California nursing license required; BSN preferred. - Experience: - Minimum of 2-3 years of clinical nursing experience, with at least 1 year in utilization review, case management, or a related field. - Experience in a managed care setting with medical necessity reviews is strongly preferred. - Certifications: - Preferred: Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), or Accredited Case Manager (ACM). - Additional clinical nursing or case management certifications are a plus. - Skills: - Strong knowledge of clinical guidelines (e.g., InterQual, MCG) and medical necessity criteria. - Excellent communication and interpersonal skills to collaborate with healthcare providers, payers, and members. - Strong analytical skills and attention to detail in reviewing clinical documentation. - Proficiency in electronic health records (EHR), utilization management software, and Microsoft Office Suite. Performance Metrics: 1. Timeliness of Reviews & Authorizations - Percentage of concurrent reviews completed within the required turnaround time (TAT). - Average response time for provider inquiries and authorization requests. 2. Compliance & Accuracy - Adherence to regulatory and accreditation requirements (e.g., CMS, NCQA, URAC). - Accuracy in applying medical necessity guidelines and compliance with internal policies. - Results of internal audits and quality assurance reviews. 3. Case Escalation Efficiency - Percentage of complex cases escalated to the Medical Director in a timely manner. - Turnaround time for resolving escalated cases. 4. Utilization & Cost Management - Reduction in unnecessary inpatient days through appropriate level-of-care determinations. - Cost savings achieved through effective utilization management and alternative care recommendations. - Reduction in readmission rates related to premature discharges. Work Environment: - Corporate office preferred / remote may be considered - Collaborative environment requiring frequent communication with clinical and administrative teams. EEO/AFFIRMATIVE ACTION STATEMENT As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $26.35-$39.53 Hourly. Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. SCOPE OF ROLE The AVP of Clinical Performance oversees the strategy, operations, and performance of Delegated Utilization Management (UM) and Care Management (CM) programs that ensure healthcare services are medically necessary, cost-effective, and aligned with payer and regulatory requirements. This role will be directly responsible for the management of clinical capabilities related to delegated utilization management and delegated care management across multiple health plan clients in the California Medi-Cal, Medicaid delegated services markets. This is a work from home position based in California or the Pacific Time Zone. DUTIES & RESPONSIBILITIES Core Leadership Responsibilities - Drive quality, efficiency, and consistency using internal and external benchmarks - Lead and develop UM/CM Directors; set clear direction, accountability, and performance expectations - Ensure standardized operations and workflows - Collaborate with operational and medical director leadership of affiliate partners - Partner with finance and clinical leaders to align staffing, skill mix, and resources - Foster a culture of high performance, continuous improvement, and regulatory excellence - Oversee daily UM and CM operations to ensure effective care coordination and utilization review Utilization Management - Lead UM programs including prior authorization, concurrent, retrospective review, and medical necessity determinations - Ensure compliance with federal, state, health plan and NCQA requirements - Manage authorization turnaround times to exceed payer standards - Oversee denial processes, notifications, and timeliness requirements - Identify opportunities to reduce unnecessary utilization while maintaining quality - Support value-based contract performance through effective utilization controls - Partner with CMO and Medical Directors to meet regulatory and compliance standards - Support internal and health plan audits and ensure proper clinical review hierarchy Care Management - Oversee inpatient and complex care management programs - Ensure compliance with federal, state, and NCQA care management standards - Establish standardized workflows, care plans, and documentation practices - Integrate care management into physician workflows and primary care teams - Participate in and support internal and health plan audits EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE - Bachelor’s Degree in business, healthcare administration, nursing, or a related field is required; MBA/MHA and/or clinical degree is preferred. - Minimum of ten (10) years of MSO operations experience, with at least five (5) years in a national/regional management role required. - Experience in change management and process improvement required. - Registered Nurse license is preferred. PROFESSIONAL COMPETENCIES - Ability to operate effectively in a matrixed environment - Strong clinical leadership, communication, and relationship-building skills - Results-driven, with the ability to translate strategy into measurable outcomes - Proven success leading organizational change and performance improvement - Strong collaboration and cross-functional alignment capabilities - Deep clinical acumen with expertise in utilization review and management - Strong analytical and presentation skills - Experience developing and leading governance models for care and utilization management For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $142,691.41-$214,037.12 Annually. Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. SCOPE OF ROLE The Director, Clinical Performance is responsible for the management of clinical capabilities related to Delegated Utilization Management and Delegated Care Management across multiple health plan clients in the California Medi-Cal, Medicaid delegated services markets. The role is responsible for overseeing day to day clinical operations. This is a work from home position based in California or the Pacific Time Zone. ROLE RESPONSIBILITIES - Ensure clinical review criteria (e.g., evidence-based guidelines) are applied consistently in authorization and review processes. - Support and engage in daily UM workflows, including case review processes, turnaround time management, and staffing models, while helping maintain performance standards for authorizations, denials, and appeals. - Participate in internal and health plan audits, assist in maintaining UM policies and procedures, and support accurate medical necessity determinations in accordance with clinical guidelines. - Partner with medical directors to resolve complex cases and appeals. - Oversee day-to-day UM operations and lead the team, including case review workflows, turnaround times, and staffing models. - Actively participate in day-to-day utilization management (UM) operations, including direct involvement in clinical reviews and authorization decision-making - Maintain performance standards for authorization decisions, denials, and appeals management. - Ensure UM processes meet regulatory, accreditation, and contractual requirements. - Maintain policies and procedures governing UM processes. - Manage workflows, staffing models, and case assignments to maintain appropriate review turnaround times in and accurate medical necessity determinations in accordance with clinical guidelines and regulatory requirements. - Ability to collaborate with analytics to support the development and maintenance of the data governance structure for clinical outcome measures - Identify trends in overutilization, underutilization, and inappropriate site-of-care decisions. - Work closely with Compliance to ensure appropriate operational responses to regulatory changes and ensures policy repository is updated based on state specific requirements or regulatory changes - Adhere to the Policies and Procedures set forth by NeueHealth and performs all additional duties as assigned EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE - Master’s degree in nursing, business, or other related Healthcare field preferred - Minimum 10 years’ experience in the population health management arena - Experience managing a team in a remote work environment - Experience in program development and management LICENSURES AND CERTIFICATIONS - Active and unrestricted license as a Registered Nurse (RN) in California is required. For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $127,803.17-$191,704.75 Annually. Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. Job Summary: The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members under a managed care health plan. This role involves assessing inpatient admission and continued stays, coordinating with healthcare providers, facilitating communication with payers, and ensuring compliance with health plan policies and clinical guidelines. The UR Nurse collaborates with the Medical Director and clinical leadership for complex cases, denials, and escalated reviews. Key Responsibilities: 1. Concurrent Review & Case Assessment - Conduct timely reviews of inpatient and skilled nursing services to determine medical necessity and appropriateness based on established clinical guidelines (e.g., InterQual, MCG). - Evaluate clinical documentation to support level-of-care determinations, treatment plans, and continued hospital stays. - Ensure adherence to health plan policies, clinical criteria, and regulatory requirements. 2. Collaboration with Medical Director - Review and escalate complex or borderline cases to the Medical Director for further assessment. - Provide the Medical Director with comprehensive clinical summaries, including case history, treatment plans, and justifications for continued care or level-of-care decisions. - Collaborate with the Medical Director to develop treatment recommendations and resolve discrepancies in care. 3. Authorization & Payer Communication - Process authorization requests for inpatient hospital admissions, LTAC, inpatient rehab, and skilled nursing admissions. - Communicate with healthcare providers to request additional documentation or clarify treatment plans. - Ensure timely approvals or denials of requested services per the health plan’s benefit structure and clinical guidelines. - Escalate cases to the Medical Director or higher clinical authority when necessary. 4. Care Coordination & Discharge Planning Support - Work closely with case managers, social workers, and care teams to facilitate seamless care transitions. - Participate in interdisciplinary discussions to address complex cases and ensure members receive appropriate care. - Identify and escalate discharge barriers to support timely and effective discharge planning. - Assist in transitioning patients from inpatient to outpatient or post-acute care settings. 5. Compliance & Documentation - Ensure compliance with state and federal regulations, accreditation standards (e.g., NCQA, URAC), and health plan policies. - Maintain accurate, up-to-date documentation of all concurrent review activities, including authorizations, denials, escalations, and Medical Director reviews. - Support quality improvement initiatives by tracking utilization trends and identifying resource optimization opportunities. 6. Education & Collaboration - Educate providers and staff on health plan clinical guidelines, medical necessity criteria, and authorization processes. - Provide guidance on escalating complex cases to the Medical Director. - Stay updated on industry trends, regulatory changes, and best practices in utilization management. - Participate in interdisciplinary team meetings and case conferences. Qualifications: - Education: Registered Nurse (RN) or Licensed Vocational/Practical Nurse (LVN/LPN) with an active, unrestricted California nursing license required; BSN preferred. - Experience: - Minimum of 2-3 years of clinical nursing experience, with at least 1 year in utilization review, case management, or a related field. - Experience in a managed care setting with medical necessity reviews is strongly preferred. - Certifications: - Preferred: Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), or Accredited Case Manager (ACM). - Additional clinical nursing or case management certifications are a plus. - Skills: - Strong knowledge of clinical guidelines (e.g., InterQual, MCG) and medical necessity criteria. - Excellent communication and interpersonal skills to collaborate with healthcare providers, payers, and members. - Strong analytical skills and attention to detail in reviewing clinical documentation. - Proficiency in electronic health records (EHR), utilization management software, and Microsoft Office Suite. Performance Metrics: 1. Timeliness of Reviews & Authorizations - Percentage of concurrent reviews completed within the required turnaround time (TAT). - Average response time for provider inquiries and authorization requests. 2. Compliance & Accuracy - Adherence to regulatory and accreditation requirements (e.g., CMS, NCQA, URAC). - Accuracy in applying medical necessity guidelines and compliance with internal policies. - Results of internal audits and quality assurance reviews. 3. Case Escalation Efficiency - Percentage of complex cases escalated to the Medical Director in a timely manner. - Turnaround time for resolving escalated cases. 4. Utilization & Cost Management - Reduction in unnecessary inpatient days through appropriate level-of-care determinations. - Cost savings achieved through effective utilization management and alternative care recommendations. - Reduction in readmission rates related to premature discharges. Work Environment: - Corporate office preferred / remote may be considered - Collaborative environment requiring frequent communication with clinical and administrative teams. EEO/AFFIRMATIVE ACTION STATEMENT As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $26.35-$39.53 Hourly. Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. Utilization Management (UM) Coordinator The Utilization Management (UM) Coordinator supports the coordination, processing, and administrative functions of the utilization review process. This role ensures timely and appropriate review of healthcare services in accordance with established guidelines and regulatory requirements, working closely with UM nurses, physicians, and other healthcare professionals. Key Responsibilities: - Receive, review, and process incoming requests for authorization of medical services. - Coordinate with providers, members, and internal clinical staff to gather necessary documentation for utilization reviews. - Enter authorization requests and updates into the utilization management system accurately and promptly. - Track and monitor pending authorizations to ensure timely processing and communication of decisions. - Collaborate with nurses and physicians to facilitate medical necessity reviews and ensure compliance with clinical guidelines. - Provide notification of determination (approvals or denials) to providers and members in accordance with regulatory timeframes. - Maintain accurate and organized records to ensure compliance with accreditation and regulatory bodies (e.g., NCQA, CMS, Health Plans). - Assist in audits and quality improvement activities as needed. - Serve as a liaison between internal departments, providers, and external vendors. - Ensure compliance with HIPAA and confidentiality standards at all times. Qualifications: - High School Diploma or equivalent required; Associate’s degree or healthcare certification preferred. - 2+ years of experience in health plan environment; experience in utilization management or case management support strongly preferred. - Capacity To Interpret Health Plan Benefit Decisions. - Bilingual Preferred (English/ Spanish) - Certification As A Medical Assistant Preferred. Skills: - Strong knowledge of medical terminology and healthcare authorization processes. - Proficient in Microsoft Office Suite and medical management systems (e.g., , MCG, or similar UM platforms). - Excellent communication, organization, and customer service skills. - Ability to work independently and manage multiple priorities in a fast-paced environment. For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $19.27-$28.91 Hourly. Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
• Support identification and evaluation of new growth opportunities across Medicare ACOs, Medicaid, Medicare Advantage, and ACA value-based contracts • Assist with market research, competitive analysis, and pipeline tracking for new partnerships and geographies • Help prepare outreach materials, including one-pagers and pitch decks, to prospective providers • Leverage publicly available and internal databases to generate a pipeline • Attend industry conferences, meetings, and network events to source prospective physicians • Conduct site visits and call/email physicians • Maintain dashboards and trackers related to growth pipeline and deal status • Clearly communicate the financial and operational benefits of becoming a NeueHealth affiliate and NeueHealth differentiators versus other ACO/MSO/IPAs in the market • Prepare weekly business development summaries for senior leadership • Support development of provider incentive alignment structures, financial forecasts, and presentations for new opportunities • Assist with RFP responses, pitch decks, and partner proposals • Effectively close deals to meet recruitment targets • Work closely with affiliate leadership teams to track growth initiatives and performance metrics • Help standardize tools, templates, and processes used across affiliates for growth and business development • Support ad hoc strategic initiatives tied to affiliate expansion or optimization • Coordinate with internal stakeholders during diligence, contracting, and onboarding phases
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. ROLE OVERVIEW The Associate, Affiliate Growth will support business development and growth initiatives to recruit physicians into NeueHealth’s portfolio of value-based contracts, including Medicare ACOs, ACA, Medicaid, and Medicare Advantage. This role will build relationships with independent primary care practices to expand NeueHealth’s network of providers in new and existing markets. Through a consultative business development process, you will own the entire business development process—from pipeline generation to close. The ideal candidate is self-motivated, passionate about health care, and a skilled communicator. ROLE RESPONSIBILITIES The Associate, Affiliate Growth job description is intended to point out major responsibilities within the role, but it is not limited to these items. Business Development & Market Expansion - Support identification and evaluation of new growth opportunities across Medicare ACOs, Medicaid, Medicare Advantage, and ACA value-based contracts - Assist with market research, competitive analysis, and pipeline tracking for new partnerships and geographies - Help prepare outreach materials, including one-pagers and pitch decks, to prospective providers Provider Recruitment - Leverage publicly available and internal databases to generate a pipeline - Attend industry conferences, meetings, and network events to source prospective physicians - Conduct site visits and call/email physicians - Maintain dashboards and trackers related to growth pipeline and deal status - Clearly communicate the financial and operational benefits of becoming a NeueHealth affiliate and NeueHealth differentiators versus other ACO/MSO/IPAs in the market - Prepare weekly business development summaries for senior leadership Deal Support & Execution - Support development of provider incentive alignment structures, financial forecasts, and presentations for new opportunities - Assist with RFP responses, pitch decks, and partner proposals - Effectively close deals to meet recruitment targets Affiliate & Portfolio Support - Work closely with affiliate leadership teams to track growth initiatives and performance metrics - Help standardize tools, templates, and processes used across affiliates for growth and business development - Support ad hoc strategic initiatives tied to affiliate expansion or optimization - Coordinate with internal stakeholders during diligence, contracting, and onboarding phases SUPERVISORY RESPONSIBILITIES - None QUALIFICATIONS Required - Bachelor’s degree in business, economics, public health, healthcare administration, or a related field - 1-3 years of experience in sales, business development, provider relations, or a related role - Ability and willingness to travel within your assigned region up to 60% as needed - Strong analytical skills with comfort in Excel and PowerPoint - Excellent written and verbal communication skills - Highly organized, detail-oriented, and able to manage multiple workstreams simultaneously Preferred - Exposure to value-based care, population health, or risk-based payment models - Experience with Medicare ACOs, Medicaid, Medicare Advantage, or ACA markets - Familiarity with healthcare financial modeling or provider/payer contracting - Experience generating, owning, and executing on a pipeline PROFESSIONAL COMPETENCIES - Strong business development and strategic thinking skills. - Ability to build and maintain relationships with physicians - Financial acumen and “deal-making” prowess - Excellent written and verbal communication skills LICENSURES AND CERTIFICATIONS - N/A WORK ENVIRONMENT The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Travel to provider offices will be required. EEO/AFFIRMATIVE ACTION STATEMENT As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $46,847.60 - $70,271.39. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. ROLE OVERVIEW The Associate, Affiliate Growth will support business development and growth initiatives to recruit physicians into NeueHealth’s portfolio of value-based contracts, including Medicare ACOs, ACA, Medicaid, and Medicare Advantage. This role will build relationships with independent primary care practices to expand NeueHealth’s network of providers in new and existing markets. Through a consultative business development process, you will own the entire business development process—from pipeline generation to close. The ideal candidate is self-motivated, passionate about health care, and a skilled communicator. ROLE RESPONSIBILITIES The Associate, Affiliate Growth job description is intended to point out major responsibilities within the role, but it is not limited to these items. Business Development & Market Expansion - Support identification and evaluation of new growth opportunities across Medicare ACOs, Medicaid, Medicare Advantage, and ACA value-based contracts - Assist with market research, competitive analysis, and pipeline tracking for new partnerships and geographies - Help prepare outreach materials, including one-pagers and pitch decks, to prospective providers Provider Recruitment - Leverage publicly available and internal databases to generate a pipeline - Attend industry conferences, meetings, and network events to source prospective physicians - Conduct site visits and call/email physicians - Maintain dashboards and trackers related to growth pipeline and deal status - Clearly communicate the financial and operational benefits of becoming a NeueHealth affiliate and NeueHealth differentiators versus other ACO/MSO/IPAs in the market - Prepare weekly business development summaries for senior leadership Deal Support & Execution - Support development of provider incentive alignment structures, financial forecasts, and presentations for new opportunities - Assist with RFP responses, pitch decks, and partner proposals - Effectively close deals to meet recruitment targets Affiliate & Portfolio Support - Work closely with affiliate leadership teams to track growth initiatives and performance metrics - Help standardize tools, templates, and processes used across affiliates for growth and business development - Support ad hoc strategic initiatives tied to affiliate expansion or optimization - Coordinate with internal stakeholders during diligence, contracting, and onboarding phases SUPERVISORY RESPONSIBILITIES - None QUALIFICATIONS Required - Bachelor’s degree in business, economics, public health, healthcare administration, or a related field - 1-3 years of experience in sales, business development, provider relations, or a related role - Ability and willingness to travel within your assigned region up to 60% as needed - Strong analytical skills with comfort in Excel and PowerPoint - Excellent written and verbal communication skills - Highly organized, detail-oriented, and able to manage multiple workstreams simultaneously Preferred - Exposure to value-based care, population health, or risk-based payment models - Experience with Medicare ACOs, Medicaid, Medicare Advantage, or ACA markets - Familiarity with healthcare financial modeling or provider/payer contracting - Experience generating, owning, and executing on a pipeline PROFESSIONAL COMPETENCIES - Strong business development and strategic thinking skills. - Ability to build and maintain relationships with physicians - Financial acumen and “deal-making” prowess - Excellent written and verbal communication skills LICENSURES AND CERTIFICATIONS - N/A WORK ENVIRONMENT The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Travel to provider offices will be required. EEO/AFFIRMATIVE ACTION STATEMENT As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. ROLE OVERVIEW The Associate, Affiliate Growth will support business development and growth initiatives to recruit physicians into NeueHealth’s portfolio of value-based contracts, including Medicare ACOs, ACA, Medicaid, and Medicare Advantage. This role will build relationships with independent primary care practices to expand NeueHealth’s network of providers in new and existing markets. Through a consultative business development process, you will own the entire business development process—from pipeline generation to close. The ideal candidate is self-motivated, passionate about health care, and a skilled communicator. ROLE RESPONSIBILITIES The Associate, Affiliate Growth job description is intended to point out major responsibilities within the role, but it is not limited to these items. Business Development & Market Expansion - Support identification and evaluation of new growth opportunities across Medicare ACOs, Medicaid, Medicare Advantage, and ACA value-based contracts - Assist with market research, competitive analysis, and pipeline tracking for new partnerships and geographies - Help prepare outreach materials, including one-pagers and pitch decks, to prospective providers Provider Recruitment - Leverage publicly available and internal databases to generate a pipeline - Attend industry conferences, meetings, and network events to source prospective physicians - Conduct site visits and call/email physicians - Maintain dashboards and trackers related to growth pipeline and deal status - Clearly communicate the financial and operational benefits of becoming a NeueHealth affiliate and NeueHealth differentiators versus other ACO/MSO/IPAs in the market - Prepare weekly business development summaries for senior leadership Deal Support & Execution - Support development of provider incentive alignment structures, financial forecasts, and presentations for new opportunities - Assist with RFP responses, pitch decks, and partner proposals - Effectively close deals to meet recruitment targets Affiliate & Portfolio Support - Work closely with affiliate leadership teams to track growth initiatives and performance metrics - Help standardize tools, templates, and processes used across affiliates for growth and business development - Support ad hoc strategic initiatives tied to affiliate expansion or optimization - Coordinate with internal stakeholders during diligence, contracting, and onboarding phases SUPERVISORY RESPONSIBILITIES - None QUALIFICATIONS Required - Bachelor’s degree in business, economics, public health, healthcare administration, or a related field - 1-3 years of experience in sales, business development, provider relations, or a related role - Ability and willingness to travel within your assigned region up to 60% as needed - Strong analytical skills with comfort in Excel and PowerPoint - Excellent written and verbal communication skills - Highly organized, detail-oriented, and able to manage multiple workstreams simultaneously Preferred - Exposure to value-based care, population health, or risk-based payment models - Experience with Medicare ACOs, Medicaid, Medicare Advantage, or ACA markets - Familiarity with healthcare financial modeling or provider/payer contracting - Experience generating, owning, and executing on a pipeline PROFESSIONAL COMPETENCIES - Strong business development and strategic thinking skills. - Ability to build and maintain relationships with physicians - Financial acumen and “deal-making” prowess - Excellent written and verbal communication skills LICENSURES AND CERTIFICATIONS - N/A WORK ENVIRONMENT The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Travel to provider offices will be required. EEO/AFFIRMATIVE ACTION STATEMENT As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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