Provider Partnership Manager at SonderMind developing relationships with healthcare practices for better patient care and engagement. Responsible for training and providing updates on services in the field.
About the role
- Behavioral Health Community Partnership Manager at Elevance Health engaging with behavioral health providers. Driving performance improvement and quality outcomes in behavioral health services across California.
Responsibilities
- Establish relationships and engage with BH providers to ensure measurable improvements in clinical and quality outcomes for members.
- Build relationships with internal clinical and quality departments to ensure high-quality care to members and achievement of company HEDIS performance.
- Implement strategies that meet clinical, quality, and network improvement goals.
- Build positive working relationships with providers, state agencies, advocacy groups, and other market stakeholders.
- Meet routinely with strategic providers face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting/credentialing and linkages for issue resolution, improving provider experience and overall satisfaction with Carelon.
- Act as a liaison between strategic providers and Carelon clinical, quality, provider strategy, operations, and claims, to ensure interdepartmental collaboration and coordination of goals and priorities.
- Support regional and corporate initiatives regarding Carelon Select Provider (CSP) program, clinical innovation, and thought leadership transforming provider relationships from transactional interactions to collaboration.
- Create and maintain linkages between providers of all levels of care, as well as other community-based services and resources to improve transitions of care and continuity of services.
- Partner with network providers and Carelon stakeholders to operationalize innovative programs and online resources to improve clinical and quality outcomes.
- Analyze provider reports pertaining to cost, utilization, and outcomes, presenting the data to providers and highlighting trends.
- Identify data outliers and opportunities for improvement for individual providers.
- Participate in the identification of opportunities for expansion and development of innovative pilot programs, implementation, launch, and efficacy and outcomes measurements.
Requirements
- Requires MA/MS or above in Behavioral Health field
- Minimum of 10 years of progressively responsible professional experience in healthcare
- Minimum of 5 years’ experience in a behavioral health setting, either provider or payer
- Current, valid, independent, and unrestricted license such as RN, LCSW, LMFT, LMHC, LPC, or Licensed Psychologist (as allowed by applicable state laws)
- Candidates who reside in Shasta, Humboldt, Solano and Sonoma HIGHLY preferred
- Managed care experience preferred
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution
- Paid Time Off
- Medical, dental, vision benefits
- Wellness programs
- Financial education resources
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