Clinical Network Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Enhance provider performance and lead initiatives focused on value-based care

• Analyze provider data to pinpoint performance gaps and outliers

• Assist in the transition to value-based contracting frameworks

• Create tailored improvement strategies for providers who are underperforming

• Act as a liaison between clinical teams and provider relations

• Collaborate with internal clinical, quality, analytics teams, and network providers

• Foster cooperation and improve clinical outcomes

• Address the needs of providers and facilitate communication among stakeholders

• Spearhead provider education and network development initiatives

• Design and implement programs, training sessions, and educational materials

• Organize workshops and meetings

• Advocate for best practices

• Develop specialized services for diverse and high-risk member populations

⛳️ Requirements

• Master’s Degree in a behavioral health discipline

• Valid and unrestricted state license to practice as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist, or Registered Nurse

• At least two (2) years of post-licensure clinical experience

• Familiarity and expertise in healthcare management principles pertaining to substance use and/or mental health

• Understanding of outcomes-based reimbursement models

• Knowledge of behavioral health clinical protocols

• Experience in contract negotiation

• Proficiency in customer relationship management

• Awareness of substance use step-down care levels in residential, inpatient, and outpatient environments

• Experience performing financial analysis using claims data and Microsoft Excel

• Demonstrated success in teamwork aimed at achieving business objectives related to quality and cost of care

• Proficient in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook

• Willingness to travel up to 50%

• Valid driver's license and proof of insurance

• Capability to pass background checks and screenings during hiring and throughout employment

• High-speed internet connection with a minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds

🏝️ Benefits

• Annual performance-based discretionary incentive

• Comprehensive medical, dental, and vision insurance

• 401(k) plan with a competitive employer matching contribution

• Company-funded life and disability insurance

• Paid parental leave and wellness incentives

• Generous paid time off, including volunteer time

• Flexible spending accounts for healthcare and dependent care expenses

• Opportunities for professional development and tuition reimbursement

• Flexibility for remote work (dependent on role)

• Provision of company equipment

• Significant personal and professional growth opportunities