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Regional Network Manager in Rocky Hill, CT at Beacon Health Options

Date Posted: 4/7/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Regional Network Manager to join our team at our office in Rocky Hill, CT!  The Regional Network Managers (RNM) are strategically oriented professionals who 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. RNMs achieve this by building highly collaborative strategic partnerships and bringing an analytic mindset to discussions with providers.  RNMs drive provider performance improvement year-over-year through education and data.

The RNM oversees 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 those 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.

Position Responsibilities:

  1. 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.
  2. 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. 
  3. 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.
  4. 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.
  5. Works closely with the Quality Department in the identification and development new indicators for use in the provider analysis and reporting tools.
  6. 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.
  7. Partner with providers and other stakeholders to operationalize innovative programs and strategies to improve clinical and quality outcomes.
  8. Surface clinical and quality issues to Beacon’s clinical and quality teams and participate in helping to address concerns.
  9. 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.
  10. 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.
  11. Reliable transportation and ability to travel within local market on a regular basis is required.


Position Requirements:

Education: Master’s Degree or above in Behavioral Health

Licensure: Independent licensure is preferred

Relevant Work Experience:
-A minimum of 5 years’ experience in mental health/substance abuse field
-Demonstrated leadership and accomplishments in the management of behavioral health services and networks
-Experience with managed care preferred
-Experience in developing continuum of heal health or behavioral health care
-A background in health services delivery systems
-Experience in developing and implementing action plans

Knowledge, Skills & Abilities:

  • 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, analytic skills, organization, and ability to multi-task are key.

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

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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