Managed Care Network Development Specialist

UCR Health is actively building its Managed Care and Clinically Integrated Network (CIN) across Riverside and San Bernardino counties, and this role is central to that work. The Managed Care Network Development Specialist grows the network by bringing independent physicians and practices into UCR Health's network. This is a field-based role. Expect to spend much of your week in physician offices working with office administrators and physicians alike. You should be equally comfortable walking stakeholders through network participation and the contracting process while bringing what you learn in the field back to senior leadership as data and recommendations. On the provider side, you will be the primary field liaison for vetting provider candidates for the network. You will identify prospective practices and make the case for joining UCR Health's managed care or Clinically Integrated Network. You will guide physicians through contracting process alongside our contracting team and stay connected after onboarding so providers stay engaged and in network. During periods of annual enrollment events, you will work on the member side and own relationships with insurance brokers, employer benefit managers, TPAs, and public agencies. You will log activity and work with data to expand the network. You will work directly with UCR Health's Chief Strategy Officer and give input into network expansion while bringing back field intelligence. Because the network is still being built, the relationships, processes, and pipeline you create will become the foundation the health system relies on for years. This role is a strong fit for professionals from provider relations, health plan network management, IPA or medical group development, physician liaison work, or employee benefits brokerage. Familiarity with the Inland Empire's managed care landscape (Medi-Cal managed care, Medicare Advantage, commercial HMO/PPO) is a strong plus. Join a growing academic health system whose mission is expanding access to high-quality, coordinated care in one of California's most underserved regions. This is an opportunity for a motivated healthcare professional to own a critical function within a growing academic health system — one deeply committed to serving the Inland Southern California community with high-quality, coordinated care. The full salary range for the Managed Care Network Development Specialist is $66,043.44 - $115,612.56 annually. We base salary offers on a variety of considerations, such as education, licensure and certifications, experience, and other business and organizational needs. Applicants must have current work authorization when accepting a UCR staff position. Currently, we are unable to sponsor or take over sponsorship of an employment Visa for staff. As a University employee, you will be required to comply with all applicable University policies and/or collective bargaining agreements, as may be amended from time to time. Federal, state, or local government directives may impose additional requirements.

• degree

  Bachelor's degree in related area and / or equivalent experience / training

  Required

• experience

  4 - 7 years of related experience in provider relations, health plan network development, physician recruitment, medical group/IPA operations, employee benefits brokerage, or a related healthcare business development role.

  Required

• Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.

  required

  Required

Thorough knowledge of outreach and marketing strategies relevant to program. Ability to analyze data and report findings. Ability to deal with confidential matters with tact and diplomacy. Thorough knowledge of outreach best practices. Excellent analytical and problem-solving skills. Ability to develop and lead educational sessions with diverse clinical groups. Advanced ability to work collaboratively with leaders, physicians, clinical and support staff. Strong organizational, planning and time management skills. Ability to prioritize and manage multiple projects simultaneously. Thorough knowledge of Microsoft Windows software. Advanced written, verbal and interpersonal communication skills. Ability to conduct research and produce advanced educational materials.

• Ability to conduct research and produce advanced educational materials.

  Required