Job Details

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. Build positive working relationships with providers, state agencies, advocacy groups, and other market stakeholders. Meets routinely with strategic providers face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting / credentialing and linkages for issue resolution, helping to improve provider experience and overall satisfaction with Carelon. Acts as a liaison between strategic providers and Carelon clinical, quality, provider strategy, operations, and claims, to ensure interdepartmental collaboration and coordination of goals and priorities. Supports regional and corpor...Behavioral Health, Manager, Behavioral, Health, Partnership, Behavior, Healthcare