Network Management Consultant at Elevance Health

Rocky Hill, Connecticut, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Behavioral Health, Mental HealthIndustries

Requirements

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
Reside in Connecticut and be within a reasonable distance of the Rocky Hill office (hybrid role requiring 1-2 days in-office per week)

Responsibilities

Develops network recruitment and retention strategies to ensure the retention and maintenance of high-quality medical and behavioral health providers that support ACCESS Mental Health program goals
Collaborates with and supports consultants in building, strengthening, and maintaining relationships with medical and behavioral health providers seeking guidance or partnership through ACCESS Mental Health
Identifies, researches, and analyzes provider practice patterns to develop recommendations for program improvements
Engages with provider organizations—including hospitals, physician groups, and community mental health centers—to enhance collaboration, communication, and integration of care across networks
Conducts seminars to support provider education on evidence-based mental health and substance use treatments, community resources, and ACCESS Mental Health workflows
Participates in network expansion efforts to recruit new physician specialties into ACCESS Mental Health network
Collaborates with internal teams to share best practices and statewide resources that support improved access, coordination, and integration of mental health services
Serves as a technical resource to consultants, supporting their efforts to build, strengthen, and sustain relationships with providers seeking assistance through ACCESS Mental Health

Skills

provider relations

network management

network recruitment

network retention

relationship management

mental health programs

behavioral health

provider engagement

clinical management

analytics

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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