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PROVIDER QUALITY MGR in Grand Rapids, MI at Beacon Health Options

Date Posted: 3/19/2019

Job Snapshot

Job Description


We are currently seeking a group of dynamic Provider Quality Managers to join our team in the Grand Rapids, MI area.  The Provider Quality Managers will be responsible for leading 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.

This position will include travel, primarily local throughout the Lakeshore Region, up to 60% of the time.  When not traveling, staff will largely work from their home.

Position Responsibilities:

  • Implement regionally based strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers, state agencies, advocacy groups and other market stakeholders.
  • Interface with a strategic subset of Beacon’s network of behavioral health providers.  Meetings with providers are face to face, telephonic and via Web-Ex.  General parameters for type and frequency of meetings are determined by the Regional Provider Quality Lead in collaboration with other Regional and National leaders.  Type and frequency of meetings for specific providers are determined on a case by case basis.
  • Liaison for Beacon clinical, quality, Provider Strategy, and network departments to ensure interdepartmental collaboration and coordination of goals and priorities.
  • Support regional and corporate initiatives regarding Alternative Payment Models (APM), including Value Based Payment (VBP), clinical innovation, and thought leadership transforming provider relationships from transactional interactions to collaborative aggregate data assessment.
  • Liaison between strategic providers and Beacon Operations, Claims and Provider Relations departments to support linkages for issue resolution, helping to improve provider experience and overall satisfaction with Beacon.

Position Requirements:

Education: Master’s Degree or above in Behavioral Health.

Licensure:  Current, valid, independent and unrestricted license (RN, LCSW, LMFT, LPC, or Licensed Psychologist). Valid driver’s license, safe driving record, reliable transportation/accessibility to a vehicle.

Relevant Work Experience:   Requires at least 10 years of progressively responsible professional experience in healthcare.  5-7 years of experience in behavioral health setting, either provider or payer, required.

Knowledge, Skills & Abilities:

  • Knowledge of managed care, analytics, performance improvement and clinical skill preferred. 
  • Strong execution and follow-up skills, analytic skills, organization, and ability to multi-task are key.


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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


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