About The Position

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. The Regional Vice President (RVP) Provider Solutions provides strategic leadership in shaping and optimizing the provider experience, engagement and contracting for Behavioral Health business for east region. Responsible to align the provider strategy to achieve high quality access for general and specialized populations, execute impactful cost of care initiatives, implement and manage payment innovation models in collaboration with account, clinical, quality and regional leadership teams while ensuring a responsive provider relations approach including training and education.

Requirements

  • Requires BS/BA in business administration or related healthcare field.
  • Minimum of 8 years of experience in healthcare operations, finance, underwriting, actuary, network development and/or sales.

Nice To Haves

  • MBA strongly preferred.
  • Behavioral health contracting and network development experience strongly preferred.

Responsibilities

  • Serves as Provider Solutions local single point of accountability for all network management functions within the specified region.
  • Develops provider networks that provide a competitive advantage.
  • Align contracting strategy with internal/external accounts, access, and medical management strategy.
  • Delivers competitive cost of care trends in assigned state. Integrates quality metrics and incentives into contracting and analytic oversight process.
  • Participates in enterprise projects that enhance our overall network.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Benefits

  • Comprehensive benefits package.
  • Incentive and recognition programs.
  • Equity stock purchase.
  • 401k contribution.

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What This Job Offers

Job Type

Full-time

Career Level

Senior

Industry

Ambulatory Health Care Services

Education Level

Bachelor's degree

Number of Employees

251-500 employees

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