Managed Care Network Development Specialist

UCR Health is seeking a driven and relationship-focused Managed Care Network Development Specialist to play a pivotal role in expanding our Managed Care and Clinically Integrated Network (CIN) across the Inland Empire region. This position sits at the intersection of healthcare strategy and community partnership \u2014 requiring someone equally comfortable navigating contract discussions at a physician's office as they are contributing to high-level network growth objectives alongside senior leadership. In this role, you will serve as the primary field-facing liaison responsible for recruiting and onboarding physicians into the UCR Health network, guiding them through the contracting process with clarity and professionalism, and building the ongoing relationships that drive long-term participation and retention. You will work closely with the UCR Health Chief Strategy Officer to align your field efforts with the broader organizational vision for managed care growth \u2014 making your work not just impactful today, but foundational to the health system's future. This is an opportunity for a motivated healthcare professional to own a critical function within a growing academic health system \u2014 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 $62,900 - $110,100 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. \n \nConducts frequent on-site visits and collaborates with key staff on policy and process development to maximize referrals. - Conducts on-site relationship-building visits to insurance brokers, employer benefit managers, HR directors, local government and municipalities, school districts, and community groups. - Develops referral pathways that route eligible members to UCR Health as PCPs and specialists. - Works with insurance brokers during open enrollment season to promote UCRH as the preferred provider option. - Creates feedback loops between brokers/employers and UCRH operations to reduce leakage and improve member onboarding.Maintains accurate record of contacts, meetings and educational activities. Analyzes referral patterns for trends identifying areas for improvement. - Maintains a CRM or outreach log capturing all broker/employer engagements, site visits, educational events, and workforce seminars. - Monitors referral and attribution data by employer group, TPA, or broker to identify underperforming networks and design corrective strategies. - Tracks employer benefit designs to identify opportunities to increase UCRH network participationProvides onsite follow-up and education for referrals. Engages in follow-up subsequent to program participation. - Provides on-site follow-up with employers and brokers to ensure employees understand how to choose UCR Health providers. Ability to answer benefits-related questions. - Follows up with brokered referrals and community program participants (e.g., wellness events, screenings) to support education around UCRH. - Closes communication loops with community partners to maintain visibility and trust.Develops and implement marketing strategies to enhance referrals. Identifies barriers to referral practices at assigned hospitals / organizations. - Develops broker and employer-focused marketing campaigns, such as co-branded benefit flyers, open enrollment toolkits, and referral maps. - Identifies barriers such as plan tiering, network confusion, employer benefit exclusions and coordinates with UCRH leadership to remove friction. - Collaborates with Marketing to build community-facing campaigns targeted at large employers, government agencies, and broker networks.Develops and presents evidence-based education plans to administrators and / or clinical providers. - Develops educational presentations for broker offices, employer benefit fairs, union meetings, civic organizations, and community health coalitions explaining UCR Health services, PCP selection, specialty strengths, and access points. - Ability to prepare data and present to a wide variety of audiencesIdentifies key contacts within assigned organizations and establishes effective working relationships with administration and / or clinical staff. - Identifies and nurtures relationships with broker principals, employer HR teams, TPA account managers, benefits navigators, and benefit coordinators. - Develops long-term partnerships with large employer groups to support annual enrollment, wellness programs, and year-round employee engagement.Participates in relevant professional organizations and represents program at professional conferences. - Represents UCR Health at broker meetings, HR networking groups, and employer consortiums. - Builds the UCRH brand at community and civic events (chambers of commerce, rotary clubs, trade associations, etc.). - Serves as a liaison between UCRH and regional employer coalitions to promote UCRH as a preferred regional health partner.Stays current on outreach / program development best practices and relevant rules and regulations. - Keeps up-to-date with health plan policy changes, employer benefits trends, and broker commission structures to better position UCRH. - Monitors ACA, Medicare Advantage, Medi-Cal managed care, and CalPERS rules affecting employer groups and referral pathways.Applies best practices to assigned hospitals / organizations. Collaborates on projects and activities. - Applies community engagement best practices to foster pipeline relationships with employer groups, schools, public agencies, and regional organizations to increase UCRH visibility. - Collaborates with employers on wellness workshops, onsite screenings, flu shot clinics, and partner-branded service days to drive recognition and referrals.\n \nStrong organizational, planning and time management skills. Ability to prioritize and manage multiple projects simultaneously.Advanced written, verbal and interpersonal communication skills.Thorough knowledge of outreach and marketing strategies relevant to program.Thorough knowledge of outreach best practices.Advanced ability to work collaboratively with leaders, physicians, clinical and support staff.Excellent analytical and problem-solving skills.Ability to analyze data and report findings.Ability to conduct research and produce advanced educational materials.Ability to develop and lead educational sessions with diverse clinical groups.Ability to deal with confidential matters with tact and diplomacy.Thorough knowledge of Microsoft Windows software.\n \nAdvanced 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. Excellent analytical and problem-solving skills. Thorough knowledge of Microsoft Windows software. Ability to conduct research and produce advanced educational materials. Thorough knowledge of outreach and marketing strategies relevant to program. Ability to analyze data and report findings. Thorough knowledge of outreach best practices. Ability to deal with confidential matters with tact and diplomacy. Advanced written, verbal and interpersonal communication skills. Ability to develop and lead educational sessions with diverse clinical groups.