Network Management Consultant Jobs (NOW HIRING)

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Network Management Consultant (Behavioral Health) - Connecticut

*Candidates Must Reside in the state of Connecticut.

Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Work Shift: Monday through Friday, 8:30 a.m.-5:00 p.m. (EST)

The Network Management Consultant (Behavioral Health) provides provider relations/network management consulting support to complex, high profile provider organizations. Serves as technical resource and mentor to other consultants. This position supports the ACCESS for Adults program and focuses on behavioral health provider engagement, community partnership development, resource coordination, and referral network collaboration throughout Connecticut.

How you will make an impact:

• Develops network recruitment and retention strategies to ensure the retention and maintenance of high quality contracted providers.

• Identifies, researches and analyzes professional provider practice patterns to develop recommendations for improvements.

• Conducts provider outreach and engagement, development of community partnerships, educational presentations, promotion of available resources, and coordination of referral networks.

• Conducts community outreach, provider engagement, and network development activities which includes travel throughout Connecticut, including rural communities identified by the Connecticut Office of Rural Health.

• Works collaboratively with behavioral health providers, primary care practices, community organizations, and other stakeholders to strengthen referral networks, increase awareness of the program, and improve access to behavioral health services.

Minimum Requirements:

• Requires a BA/BS degree and a minimum of 3 years experience in provider network management, utilization management or other health care field; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Master's degree in social work, counseling, public health, human services, or a related field is preferred.

• Clinical licensure in social work, counseling, or a related behavioral health field preferred.

• Experience in community engagement, systems of care development, provider outreach, and resource coordination.

• Knowledge of Connecticut behavioral health resources, community-based organizations, and systems of care preferred.

• Experience conducting provider education, presentations, community outreach, conferences, or exhibit activities.

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Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.