Network Mgmt Consultant

Elevance Health•Rocky Hill, CT

7d•Hybrid

About The Position

The Network Management Consultant (Behavioral Health) provides provider relations/network management consulting support to complex, high profile provider organizations. Serves as technical resource and mentor to other consultants. This position supports the ACCESS for Adults program and focuses on behavioral health provider engagement, community partnership development, resource coordination, and referral network collaboration throughout Connecticut.

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.
Candidates Must Reside in the state of Connecticut.

Nice To Haves

Master’s degree in social work, counseling, public health, human services, or a related field is preferred.
Clinical licensure in social work, counseling, or a related behavioral health field preferred.
Experience in community engagement, systems of care development, provider outreach, and resource coordination.
Knowledge of Connecticut behavioral health resources, community-based organizations, and systems of care preferred.
Experience conducting provider education, presentations, community outreach, conferences, or exhibit activities.

Responsibilities

Develops network recruitment and retention strategies to ensure the retention and maintenance of high quality contracted providers.
Identifies, researches and analyzes professional provider practice patterns to develop recommendations for improvements.
Conducts provider outreach and engagement, development of community partnerships, educational presentations, promotion of available resources, and coordination of referral networks.
Conducts community outreach, provider engagement, and network development activities which includes travel throughout Connecticut, including rural communities identified by the Connecticut Office of Rural Health.
Works collaboratively with behavioral health providers, primary care practices, community organizations, and other stakeholders to strengthen referral networks, increase awareness of the program, and improve access to behavioral health services.