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Health Plan Liaison

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Job Description - Health Plan Liaison

The Health Plan Liaison serves as UVVC’s primary relationship manager with contracted and prospective health plans across all markets (Florida, Arizona, Texas, and emerging regions). This role drives measurable ROI by strengthening payer relationships, supporting value-based care (VBC) initiatives, and ensuring UVVC remains in good standing with all contracted networks.


By taking a proactive, consistent approach to network engagement, the Liaison helps prevent issues such as contract terminations, misinterpretation of plan language, or referral disruptions — all of which have direct financial and patient access implications. This position allows senior leadership to stay focused on strategy while ensuring day-to-day payer engagement is managed continuously and escalated when necessary.


About the role-


Safeguard Network Participation – Proactively monitor plan communications, contract amendments, and policy updates to flag risks early, clarify language terms, and prevent network disruptions that could affect patient care or revenue.


Build and Manage Payer Relationships – Establish and maintain collaborative relationships with health plan representatives to secure UVVC’s strategic position in the network and enable growth opportunities.


Serve as Central Point of Contact – Act as the single point of escalation for operational issues (referrals, prior auth, claims adjudication) to reduce administrative burden on markets and improve turnaround time.


Accelerate Revenue Capture – Partner with revenue cycle teams to monitor denials, reimbursement delays, and contract issues; proactively resolve barriers that delay cash collections.


Support Growth & Business Development – Inform internal teams of network changes (new plans, new providers, benefit updates) to unlock referral opportunities and close network gaps that restrict patient access.


Strengthen VBC & Quality Performance – Align with health plans on Stars, HEDIS, and MIPS initiatives to drive quality metric attainment and ensure accurate chronic condition identification, directly impacting risk-adjusted revenue.


Track Payer Performance Metrics – Monitor and report on referral volume, prior auth approvals, procedure acceptance rates, and claims cycle time; highlight ROI impact and opportunities for improvement.


Facilitate Strategic Payer Engagement – Represent UVVC at payer meetings, forums, and joint planning sessions; prepare presentations and talking points to set up higher-level conversations for leadership.


Identify Growth Opportunities – Surface partnership opportunities that reduce leakage, capture additional market share, or shift care to high-value settings (OBL vs ASC/hospital).


Deliver Executive Reporting – Provide monthly scorecards summarizing payer activity, financial impact, operational risks, and recommendations to leadership.


Uphold Professional Standards and Conduct



  • Demonstrate and promote a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.

  • Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.

  • Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.

  • Other related duties as assigned.


Qualifications 



  • Bachelor’s degree in healthcare administration, business, public health, or related field preferred (or equivalent experience).

  • 3–5+ years in health plan/provider relations, network development, or value- based care program management.

  • Deep understanding of Medicare Advantage, Commercial ACOs, Medicaid programs, and value-based models — with proven ability to leverage plan design to reduce friction and support growth.

  • Working knowledge of authorization workflows, claims adjudication, and denial resolution, with ability to access payer portals and serve as a customer service champion for internal teams.

  • Strong communication, negotiation, and presentation skills with ability to influence cross-functional and external stakeholders.

  • Proficient with Microsoft Office Suite and CRM tools; skilled in data analysis and preparing executive-level reporting.

  • Highly dependable; able to meet reliable attendance and punctuality standards.


 


About us:  


UVVC, is a leading provider of comprehensive vein and vascular care with over 45 clinics across Arizona, Chicago, Colorado, Florida, Georgia, Texas, and expanding. Our mission is to revolutionize vascular care by delivering an all-inclusive clinic experience that addresses every aspect of lower extremity vein, vascular, and wound conditions. 


United Vein & Vascular Centers (UVVC) is distinguished by its innovative approach to diagnosing and treating a variety of vascular conditions that affect the pelvis and lower extremities. With a team of committed specialists, cutting-edge medical technology, and a patient-centric approach that emphasizes minimally invasive procedures, UVVC ensures superior care and optimal outcomes for it’s patients.  


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