Drive adoption by making referrals easy, repeatable, and aligned with plan operations
Monitor referral trends and proactively engage case managers to increase appropriate referrals
Identify gaps in utilization and implement targeted strategies to improve performance
Identify high- and low-performing partners
Report back to internal and external stakeholders on performance What we're looking for:
Requirements
Experience working with or within health plans (Medicaid managed care strongly preferred), with exposure to payor partnerships, care management/case management programs, or behavioral/population health
Health plan fluency: Strong understanding of health plan operations, including case management workflows, member engagement challenges, and behavioral health care coordination
Proven ability to maintain professionalism and confidentiality when working with sensitive and confidential information
Value-based care or cost-of-care reduction strategies • Experience with:
Experience
2-5+ years of Health plan experience:
Benefits
You will work closely with care management, case management, and behavioral health teams within health plans to ensure members with OUD are identified and connected to care.
Join Ophelia Health to not only build a career but to make a meaningful impact on one of the greatest healthcare crises of our lifetime.
Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
Work From Home Stipend
401k Contribution Platform
benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others! #LI-Remote
Ophelia Compensation Overview
We set compensation based on the level and skills required for the role.
We value pay transparency and equity, and are committed to fair pay.
In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we’re not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone’s negotiation skills.
Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually.
Compensation Range $80,000 — $100,000 USD
Additional details
Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime? Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity.
Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it. Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform.
Our approach is discreet, convenient, and affordable.
We've been successfully operating in 14 states for almost six years and we're excited to continue our growth.
We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America. About the Role
Ophelia Health is seeking a full-time Partnerships Manager to initiate and develop strong, lasting relationships with health plans (payors) to support members with opioid use disorder (OUD).
In this role, you will be the strategic link between our organization and our payor partners, focusing on activating utilization and integrating workflows to drive member access.
This role is focused on scaling partnerships with health plans (payors) to drive member access to Ophelia’s virtual MOUD services.
Your mission is to translate health plan partnerships into consistent, high-quality member referrals and improved treatment engagement.
You’ll be part of a passionate team, with ample opportunities for growth, competitive benefits, and the chance to truly make a difference in people’s lives. What you'll do: