Manager, Referral Coordinator

Manager Referral CoordinationJob Summary:The Manager Referral Coordination leads the referral coordination function ensuring members receive high-quality timely and cost-effective care. This role provides leadership coaching and operational oversight for a team of Referral Coordinators while driving consistency in referral management practices optimizing referral network utilization and supporting the implementation of standardized referral coordination processes across the closely with Market Leaders in Operations and Clinical the Manager Referral Coordination monitors referral utilization trends identifies opportunities for improvement and leads initiatives that enhance quality efficiency and performance outcomes. The ideal candidate is a people-focused leader with expertise in care coordination referral management and value-based care as well as strong analytical project management and change leadership and ResponsibilitiesLead coach and develop a team of Referral Coordinators fostering a culture of accountability collaboration and member-centered service. Manage colleague performance through hiring onboarding goal setting coaching development planning and performance evaluations. Monitor team performance metrics and drive engagement retention and career growth the development implementation and ongoing optimization of standardized referral coordination processes tools and best practices across the referral utilization specialty network performance and care coordination outcomes leveraging data and analytics to identify trends improvement opportunities and cost-effective care reporting insights and recommendations to market and enterprise leaders to drive referral management performance and informed effective adoption compliance and optimization of referral management systems workflows and utilization management with Market Leadership Operations Clinical Leadership Population Health and external vendors to resolve referral management challenges improve network utilization and support enterprise as the primary liaison for referral management vendors and partners including oversight of specialist tiering referral optimization and network performance process improvement initiatives system enhancements and change management efforts that improve member access care quality operational efficiency and provider organizational priorities performance outcomes and referral management strategies while fostering collaboration and consistency across Skills and AbilitiesDemonstrated experience leading coaching and developing high-performing understanding of referral management care coordination and healthcare to influence and drive accountability across multiple stakeholders and project leadership and change management analytical and problem-solving skills with the ability to translate data into operational to establish priorities and lead multiple initiatives in a fast-paced verbal written and presentation communication interpersonal and relationship-building in performance management and colleague to effectively manage ambiguity and drive degree in Healthcare Administration Nursing Healthcare Information Systems Business Administration or a related field of 7 years of experience in care coordination case management utilization management population health healthcare analytics or quality improvement required; leadership or supervisory experience knowledge of care coordination processes referral management workflows utilization trends care transitions and healthcare operations. Experience analyzing healthcare data and translating insights into operational improvements and business recommendations. Knowledge of value-based care models population health strategies and specialty network management ability to lead cross-functional initiatives manage competing priorities and drive results in a dynamic healthcare environment. Strong analytical communication problem-solving and stakeholder management with healthcare technology platforms reporting tools and Microsoft Office applications. Ability and willingness to travel up to 20% as business needs require. Demonstrates and models ArchWell Healths core values: Be Compassionate Strive for Excellence Earn Trust Show Respect Stay Resilient and Always Do the Right ArchWell Health:At ArchWell Health were creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship routine wellness and staying active our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard listened to and given ample time by their physicians to live well later in value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable accessible neighborhood