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Provider Engagement Manager

Company: Cityblock Health
Location: Worcester
Posted on: September 13, 2020

Job Description:

Cityblock Health is the first tech-driven provider for communities with complex needs, bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs and some of the top healthcare investors in the country.

Our mission is to improve the health of underserved communities, one block at a time. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are—bringing care into the home and neighborhoods through our community-based care teams.

In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve.

Over the next year, we’ll grow quickly to bring better care to many more members and their communities. We will get started in new markets, each with their own operating structure and care teams, and continue to grow in the communities where we are working already. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community.

Our work is grounded in a belief in the power of a diverse community. To deliver a radically better experience of care to our members and advance equity in the communities we serve, we strive to make our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bridging together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels like they belong, are valued, respected, and celebrated as a part of our community.

Our Values:

Aim for Understanding

Be All In

Bring Your Whole Self

Put Members First

About The Role:

We are seeking a collaborative Provider Engagement Manager to advance Cityblock’s social care model in Worcester, Massachusetts. You will build relationships, process flows, and engage with in-network providers throughout the Worcester County area and contribute to the success of Cityblock’s market performance.

How We Define Success:

Be responsible for building and maintaining collaborative relationships with community physicians, care facilities and vendors that collaborate with Cityblock Health to deliver excellent health outcomes and quality for our shared members

Develop community PCP and BH clinician facing materials that explain the Cityblock model and our collaboration philosophy

Develop an engagement plan including timelines and success metrics for community based PCPs and BH clinicians and roll-out the engagement strategy

Develop and oversee the process of sending member care plans and EMR notes to PCPs

Build relationships, process flows and initial approach to Identifying and engaging with In-network providers to include: primary care physicians, specialists, home health, DME, Acute Care and Subacute care facilities.

Identify high volume, potentially high value specialist, acute care and sub-acute care facilities, and then engage leaders within those organizations in the Cityblock model and processes

In partnership with the analytics and medical economics team, to develop analyses and reporting that supports local network decision making and referral patterns

Support relationship building and manage process optimization between Cityblock Health and other clinical health plan clinical partners in market (e.g.,DM/CM/UM vendors)

Document current state, assist in developing future state and assist in implementing and tracking it

Identify and track key metrics and present at joint operation committee meetings

Facilitate ongoing relationships and meetings between organizations

Identify key areas for improvement based on community PCP and behavioral health clinician input. Adjust workflows to improve these areas; assist with implementing & measuring changes.

Support referral management functions and processes.

Develop and manage dashboard and metrics for referrals, medical trends, cost drivers and cost saving opportunities.

Requirements for the Role:

MBA or MHA, or equivalent experience

Experience working in a managed care organization, specifically in a provider network strategy and management function

Excellent presentation, verbal and written communication skills

Experience building mutually beneficial relationships with large provider groups and facilities

Knowledge of managed care, LTSS populations, and relevant federal and state legislation.

Nice to have but not required:

Experience in managed care clinical operations, risk adjustment, and/or medical cost analysis

Working knowledge of central Massachusetts provider networks and health systems. Our partnership is with CareFirst.

Unrestricted Driver’s License and car

What We’d Like From You:

A resume and/or LinkedIn profile

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

-

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

Are you legally authorized to work for Cityblock in the United States?  *

How did you hear about this job opportunity?  *

Will you now or in the future require Cityblock to serve as a sponsor for employment (e.g., H-1B visa status)?  *

Confidential Diversity & Inclusion Survey We take equal opportunity seriously here at Cityblock and are working to build a company that is as diverse as the communities we serve. Completing this survey is voluntary , but we hope that you will choose to answer. All responses are kept completely private - they cannot be seen by anyone reviewing your application, they are not used for or against your candidacy in any way.

Because the EEOC identifying questions are limiting, we would like to provide more options to our candidates to self identify for their gender, race, and age.

Our work here at Cityblock is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with building a diverse and inclusive team. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Individuals seeking employment here at Cityblock are considered without regard to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation.

And, because we do business with the government, our recruiting and hiring practices must meet affirmative action and equal employment opportunity standards. Part of this is inviting applicants to self identify, which allows us to comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Thank you!

Toyin, Iyah and Bay

Co-Founders, Cityblock Health

What age group do you belong in?

18-20

20-30

30-40

40-50

50-60

60+

What gender group do you identify as?

Cis-Male

Cis-Female

Non Binary

Trans Woman

Trans Man

Other (Open Comment)

What race do you identify as?

African-American / Black

Hispanic / LatinX

Caucasian / White

East Asian (including Chinese, Japanese, Korean, and Mongolian)

Native American/Alaskan Native

Middle Eastern

Pacific Islander

South Asian (including Bangladeshi, Bhutanese, Indian, Nepali, Pakistani, and Sri Lankan)

Southeast Asian (including Burmese, Cambodian, Filipino, Hmong, Indonesian, Laotian, Malaysian, Mien, Singaporean, Thai, and Vietnamese)

Prefer Not To Answer

Other (Open Comment)

U.S. Equal Opportunity Employment Information (Completion is voluntary) Individuals seeking employment at Cityblock Health are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Completion of the form is entirely voluntary . Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

Gender Are you Hispanic/Latino? Race & Ethnicity Definitions If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Veteran Status Form CC-305

OMB Control Number 1250-0005

Expires 05/31/2023

Voluntary Self-Identification of Disability Why are you being asked to complete this form? We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp .

How do you know if you have a disability? You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

Autism

Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS

Blind or low vision

Cancer

Cardiovascular or heart disease

Celiac disease

Cerebral palsy

Deaf or hard of hearing

Depression or anxiety

Diabetes

Epilepsy

Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome

Intellectual disability

Missing limbs or partially missing limbs

Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)

Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

Disability Status 1 Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp .

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Keywords: Cityblock Health, Worcester , Provider Engagement Manager, Other , Worcester, Massachusetts

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