Manager Network Development & Initiatives in Rocky Hill, CT at Beacon Health Options

Date Posted: 11/20/2019

Job Snapshot

Job Description

Beacon is currently seeking a Manager Network Development & Initiatives (Regional Network Manager) to join our team at our Rocky Hill, CT office. This position will help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon members. Will achieve this by building highly collaborative strategic partnerships and bringing an analytic mindset to discussions with providers.  Will drive provider performance improvement year-over-year through education and data.

This role will oversee the implementation of regionally based strategies to meet local and statewide clinical, quality and network improvement goals.  The goals ultimately serve to promote recovery of our members by ensuring that, whenever possible, they receive community based services and that gaps and barriers that exist in the service system are removed.

Building relationships with internal Beacon teams will be necessary to be successful in this role, in particular coordinating closely with clinical and quality departments, to ensure high quality care to members.

What does a typical day look like?

  • Implement regionally based strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers, state agencies, advocacy groups and other stakeholders.
  • Participates in the development of statewide Provider Analysis Reporting (PAR) programs and works with the providers in their region to help them understand their performance in comparison to other providers of the same services. Oversees regional network performance improvement associated with the PAR programs and implements with providers statewide and individual Quality Improvement Plans and Goals. 
  • Reviews and summarizes all profiling data including demographic, utilization and quality data by provider, understands how the provider’s data compares to other similar programs and identifies provider strengths and opportunities for improvement.
  • Shares best practice information with assigned providers/systems of care to strengthen quality of the network. At the same time, works with the providers to develop innovative programming and quality enhancement strategies to meet the needs of the CT BHP members.
  • Works closely with the Quality Department in the identification and development new indicators for use in the provider analysis and reporting tools.
  • Ensure, and create as necessary and as applicable depending on the regional and local needs, 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 providers and other stakeholders to operationalize innovative programs and strategies to improve clinical and quality outcomes.
  • Surface clinical and quality issues to Beacon’s clinical and quality teams and participate in helping to address concerns.
  • Work with Beacon clinical teams to be knowledgeable regarding Beacon UM and care management programs and services, to be able to answer or appropriately triage provider questions.
  • Convenes and/or attends community forums comprised of providers, members, advocates, state agency personnel, intensive care managers and other Beacon staff who serve Partnership members in the assigned region to ensure that the PAR and other network performance improvement initiatives are communicated and interested individuals are engaged in problem solving and future planning to addresses the concerns of all stakeholders.
  • Reliable transportation and ability to travel within local market on a regular basis is required.

What you Contribute?

Education: Master's degree required 

Licensure: Current valid and unrestricted CT license in a in a mental health field (RN, Ph.D, LMSW/LCSW, LMHC, LPC, etc.) preferred

Knowledge, Skills & Abilities:

  • A minimum of 5 years experience in mental health/substance abuse field with demonstrated leadership and accomplishments in the management of behavioral health services and networks
  • Experience with managed care preferred
  • Experience in developing continuum of health or behavioral health care; a background in health services delivery systems;
  • Experience in developing and implementing action plans;
  • Ability to organize and coordinate meetings and to promote communication and collaboration among stakeholders
  • Ability to work independently requiring minimal direct supervision.
  • Strong execution and follow-up skills, as well as analytical and organizational skills
  • Ability to multi-task is key

What Makes Us Different?

  • Here, it’s not just a job – it’s an opportunity to change lives.
  • Our employees are learners, innovators and original
  • Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

  • Healthcare benefits available starting day 1!
  • Health & wellbeing incentives, such as gym membership reimbursement
  • 401K with company match to help reach your future financial goals
  • Generous PTO, because we know life happens outside of work
  • Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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