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Network Management Consultant

Network Management Consultant

Elevance HealthRocky Hill, CT, US
12 days ago
Job type
  • Full-time
Job description

Network Management Consultant

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work / life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. The ideal candidate for this position will reside in Connecticut and be within a reasonable distance of our Rocky Hill office.

Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Network Management Consultant is responsible for providing provider relations / network management support to complex, high-profile medical and behavioral health provider organizations participating in the ACCESS Mental Health programs. Serves as a technical resource to consultants, supporting their efforts to build, strengthen, and sustain relationships with providers seeking assistance through ACCESS Mental Health.

How you will make an impact :

  • Develops network recruitment and retention strategies to ensure the retention and maintenance of high-quality medical and behavioral health providers that support ACCESS Mental Health program goals.
  • Collaborates with and supports consultants in building, strengthening, and maintaining relationships with medical and behavioral health providers seeking guidance or partnership through ACCESS Mental Health.
  • Identifies, researches, and analyzes provider practice patterns to develop recommendations for program improvements.
  • Engages with provider organizationsincluding hospitals, physician groups, and community mental health centersto enhance collaboration, communication, and integration of care across networks.
  • Conducts seminars to support provider education on evidence-based mental health and substance use treatments, community resources, and ACCESS Mental Health workflows.
  • Participates in network expansion efforts to recruit new physician specialties into ACCESS Mental Health network.
  • Collaborates with internal teams to share best practices and statewide resources that support improved access, coordination, and integration of mental health services.

Minimum Requirements :

  • Requires a BA / BS degree and a minimum of 3 years experience in provider network management, utilization management or other health care field; or any combination of education and experience, which would provide an equivalent background.
  • Preferred Skills, Capabilities, and Experiences :

  • Master's degree and Connecticut clinical license in social work, counseling, psychology, or marriage / family therapy preferred.
  • Job Level : Non-Management Exempt

    Workshift : Job Family : PND >

    Provider Relationship Account Mgmt

    Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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