Behavioral Health Network Specialist responsible for practitioner outreach and network recruitment for Horizon Blue Cross Blue Shield in New Jersey. Engaging providers and improving network efficiency.
Responsibilities
Serves as the key external-facing member of the behavioral health network management team
Analyzes membership and geographical access by BH Specialty
Performs activities that develop prospective relationships with providers
Provides input to behavioral health special payment arrangement contract renewals
Informs and educates behavioral health practitioners on Horizon‘s products and services
Engages in proactive outreaches to high volume behavioral health groups
Analyzes provider related information and data
Initiates communication with other members of BH network management team
Alerts leadership to potential issues risks, and opportunities
Plans, organizes, and presents seminars to various BH network practitioners and groups
Maintains a thorough knowledge of healthcare industry trends
Requirements
High School Diploma/GED required
Bachelor degree preferred or relevant experience in lieu of degree
Requires a minimum of five (5) years healthcare experience, preferably with provider or client focus/interaction
Prefers behavioral health related experience in the healthcare/insurance industry
Requires knowledge of healthcare industry
Requires knowledge of New Jersey behavioral health provider community
Prefers knowledge of HBCBSNJ programs, products and procedures.
Benefits
Comprehensive health benefits (Medical/Dental/Vision)
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