Head of Clinical Partnerships (Remote)

UnifiHealth

Columbus, OH, US
  • Job Type: Full-Time
  • Function: Clinical Research
  • Industry: Health Care
  • Post Date: 11/24/2021
  • Website: www.unifihealth.com
  • Company Address: 1223 East Main Street, Columbus, OH, 43205

About UnifiHealth

UnifiHealth is reimagining how health benefits are built and delivered to small businesses.

Job Description

Ever felt like navigating our healthcare system is like trying to shop blindfolded with your hands tied behind your back? Yeah, we do too, and we think it needs to change. 
 
At UnifiHealth, our vision is to create the only health plan you will ever need. This is a big goal, and to get there we’ll need to bring a new mentality to how to price, pay for, and navigate healthcare. To start, we’re building the modern health plan for small businesses -  a segment of the market that has long been overlooked and underserved.

The Head of Clinical Partnerships will oversee the strategy and execution of formal and informal agreements between UnifiHealth and the clinical community. Traditional job descriptions might be titled “Provider Network Development” or “Network Contracting”. While you should have experience dealing directly with today’s health system constraints, you aren’t afraid to challenge the status quo with something new and then make it a reality. You should have a perspective on how companies with unique healthcare data capabilities can and should add value back to the care community. You might question why “networks” exist in the first place, and are excited to rethink how they can be retooled to help who matters most – the patient.

Notice to Candidates: We believe that a more diverse and inclusive team is critical to big impact and success. As part of our commitment to diversity and inclusion, we use blind-screening for all applications.

What You’ll Do:

  • Build relationships and implement payer contracts with provider organizations, from independent multi-specialty groups and ASCs to urgent care chains and regional health systems
  • Expand the UnifiHealth provider contracting strategy with company leadership, and turn this strategy into reality through strategic diligence, outreach, contract negotiation and execution
  • Create and execute on novel network design strategies, including risk sharing agreements, direct contracts, and reference-based pricing, among others, to replace traditional contract structures
  • Help develop innovative purchasing models (bundles, global risk) and work with reinsurance partners to incorporate value added models to underwriting 
  • Partner with Sales and Marketing teams to develop network in concert with member growth, ensuring network adequacy and coverage, and to efficiently scale the business
  • Create best practices and contracting norms to carry into future geographies
  • Build and lead provider network team responsible for managing provider relationships, maintaining network agreements, credentialing, and provider directories
  • Work with clinic partners to develop high-value referral models that incorporate cost, quality, and efficiency
  • Work with Product and Operations teams to support integration with clinical partners and help create a simple and effective member experience

As the Head of Clinical Partnerships, you should have:

  • 5+ years’ experience in network development, network management, or contracting, with specific experience in executing and implementing payer-provider contracts or partnerships or related experience selling solutions to large provider systems
  • Sat opposite provider executives and sold them on a new product, partnership, or related initiative and motivated action on something new
  • The ability to open doors and build rapport with physician and administrative leadership
  • Familiarity with direct primary care and reference-based pricing
  • Have worked directly with hospital executives, particularly CFOs or senior members of the finance organization
  • The ability to run a business development process, including pipeline development and analytics
  • Comfortability with CRM and Engagement tools   
  • Have a passion for improving healthcare delivery
  • Thrive in the ambiguity that can come with an early-stage startup – you should expect to do things not included in this job description
  • Have experience in Ohio or other nearby Midwestern states (not required)

Like the rest of the UnifiHealth team, you’ll benefit from:

  • Equity in the company
  • A new company laptop
  • Unlimited PTO with a twist — we require a minimum of 12 days off per year to ensure you’re enjoying life away from Unifi
  • Coverage under UnifiHealth insurance (unless you’re outside our coverage area, in which case we’ll subsidize an ACA health plan)
  • A one-time $750 reimbursement to set up your home office — whether it is a standing desk, a new monitor, or a mouse pad hand warmer — we want you to make your workspace your own!
  • Quarterly company get-togethers where we convene for 1-3 work days with an optional social event over the weekend (next up: Columbus, OH in October and Denver, CO in January)
  • The option to travel as needed to meet with your team for in-person co-working days, separate from the company get-togethers
  • A 401(k) program implemented by year end 2021
  • Company swag you’ll actually want; quality over quantity is our motto

About UnifiHealth

We are a seed-stage company backed by industry leading investors, including Anthemis, Flare Capital, Echelon, Digitalis Ventures, and Great Oaks VC. We’re in execution mode and offer an opportunity to have an immediate impact. If you’re fed up with the status quo, we want to talk.
 
Our headquarters are in Columbus, OH but we are a remote-first company. Our team is distributed across the US with longer-term plans to have office space where we have employee concentration. 

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