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6 minutes ago
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Full time
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data analysis provider relations value-based care medicaid medicare advantage
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📋 Description

  • Establish and maintain actionable, real-time insights into behavioral health network access
  • Develop, implement, and manage provider scorecards and tiering frameworks to evaluate and
  • Partner with Medicare Advantage and Medicaid network teams, network adequacy teams, and market
  • Design, launch, and lead Pay-for-Performance initiatives for Medicare Advantage providers while
  • Translate strategic priorities into coordinated delivery plans, aligning stakeholders and
  • Manage Joint Operating Committees and maintain productive relationships with large provider groups.

🎯 Requirements

  • Bachelor’s degree required.
  • 8+ years of experience in network strategy, provider relations, behavioral health management, or a
  • Strong knowledge of behavioral health provider networks and the operational considerations
  • Demonstrated experience developing strategic partnerships and engaging internal and external
  • Proven ability to lead cross-functional teams, manage multiple stakeholders, and translate strategy
  • Strong analytical capabilities, including experience with provider performance measurement, network

🎁 Benefits

  • Annual salary range of $115,200–$158,400, with actual compensation varying according to geographic
  • Eligibility for a bonus incentive plan based on company and/or individual performance.
  • Fully remote work opportunity.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, company and personal holidays.
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