Hybrid Behavioral Health Network Specialist

Posted 6 hours ago

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About the role

  • Behavioral Health Network Specialist responsible for practitioner outreach and network recruitment for Horizon Blue Cross Blue Shield in New Jersey. Engaging providers and improving network efficiency.

Responsibilities

  • Serves as the key external-facing member of the behavioral health network management team
  • Analyzes membership and geographical access by BH Specialty
  • Performs activities that develop prospective relationships with providers
  • Provides input to behavioral health special payment arrangement contract renewals
  • Informs and educates behavioral health practitioners on Horizon‘s products and services
  • Engages in proactive outreaches to high volume behavioral health groups
  • Analyzes provider related information and data
  • Initiates communication with other members of BH network management team
  • Alerts leadership to potential issues risks, and opportunities
  • Plans, organizes, and presents seminars to various BH network practitioners and groups
  • Maintains a thorough knowledge of healthcare industry trends

Requirements

  • High School Diploma/GED required
  • Bachelor degree preferred or relevant experience in lieu of degree
  • Requires a minimum of five (5) years healthcare experience, preferably with provider or client focus/interaction
  • Prefers behavioral health related experience in the healthcare/insurance industry
  • Requires knowledge of healthcare industry
  • Requires knowledge of New Jersey behavioral health provider community
  • Prefers knowledge of HBCBSNJ programs, products and procedures.

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement

Job title

Behavioral Health Network Specialist

Job type

Experience level

Mid levelSenior

Salary

$79,100 - $105,945 per year

Degree requirement

High School Diploma

Location requirements

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