BH Provider Engagement Specialist III

Job description

Job Summary: The Behavioral Health Provider Engagement Specialist III is responsible for provider contracting services, provider assistance and acts as the engagement lead for high value, strategic BH health partners. Essential Functions: - Execute the quality, engagement, and contracting strategy, develop provisions based on cost, quality/analysis and monitor key metrics for the assigned Massachusetts Market - Lead for identified Market performance and engagement strategic initiatives under the direct supervision of their manager - Market lead for performance and engagement activities to support overall network performance, new products, and product expansion - Responsible for provider recruitment, contracting and initiating the loading and credentialing processes and ensuring timely and appropriate loading - Coordinate the account strategy and provide account support with the goal of driving the overall satisfaction and engagement of Provider network - Negotiate and re-negotiate hospital, ancillary, physician and behavioral health contracts, terms, reimbursement rates, etc., in a manner that complies with corporate policies - Analyze financial data to establish network strategic...