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WellSky · 1 hour ago

Engagement Manager - Michigan

Michigan, United States

Full-time

Hybrid

Mid, Senior Level

4+ years exp

WellSky is a company focused on healthcare innovation and collaboration. The Engagement Manager role is responsible for building strong relationships with healthcare providers, educating them on Utilization Management processes, and driving engagement to enhance patient outcomes.

Health CareSoftware

Responsibilities

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

Qualification

Utilization Management principlesProvider educationData analysisHealthcare provider engagementPrior authorization workflowsCoachingDevelopmentPerformance metricsCompliance monitoring

Required

At least 4-6 years relevant work experience

Bachelor's Degree or equivalent work experience

Preferred

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