Behavioral Health Provider Quality Manager (field)

Elevance Health
Any Location, PA
Category Healthcare
Job Description
Behavioral Health Provider Quality Manager responsible for leading provider engagement, improving value delivered to members, and driving clinical and quality outcomes through education and data analysis. Requires a Master's degree in a Behavioral Health field and 10+ years of experience in healthcare, including 5+ years in a behavioral health setting. Current license required.

Requirements

  • Establishes relationships and engages with BH providers and ensures measurable improvements in clinical and quality outcomes for members.
  • Builds relationships with internal clinical and quality departments to ensure high quality care to members and achievement of company HEDIS performance.
  • Implements strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers, state agencies, advocacy groups and other market stakeholders.

Benefits

  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical
  • Dental
  • Vision
  • Short and long term disability benefits
  • 401(k) + match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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