Director Of Bh Network Strategy

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

 

Job Summary:

Reporting to the Vice President of Provider Network Contracting, in this highly visible role, the Director of Behavioral Health Network Strategy is responsible for contract strategy for the entire BH Network for the Medicare, Medicaid and Commercial suite of products across multiple states. The Director of BH Network Strategy will be a thought leader and central point of contact for the BH Network within the organization. Will enable a high performing BH provider network and will foster and maintain strong relationships with strategic providers to support achievement of shared plan and provider objectives.
The Director of BH Network Strategy is member of the Provider Network leadership team and will be actively engaged in division strategy, planning and performance initiatives.

 

Our Investment in You:

·       Full-time remote work

·       Competitive salaries

·       Excellent benefits

Key Responsibilities/Duties – What You Will Be Doing

• Lead strategy for advance market intelligence to ensure a best-in-class BH network
• Assesses all product BH provider network needs for each market (services, provider/facility types, network adequacy)
• Supports geographical analysis of member access to care gaps
• Ensures operational, strategic, and tactical alignment across the negotiation teams
• Develops new and enhances existing relationships with BH Trade Organizations and BH providers across multiple states
• Represents the Plan at BH Trade Organizations’ meetings
• Create VBP programs for multiple provider types
• Development of network BH training and reporting materials
• Other duties and projects as assigned.
  

The Successful Candidate Will

• Approach this role with a great deal of collaboration and flexibility
• Be a self-starter and driven individual
• Be highly organized and assertive
• Be able to present to all levels within the organization
  

Qualifications – What You Need To Perform The Job
EDUCATION, CERTIFICATION AND LICENSURE:

• Bachelor’s degree in related field, Master’s degree preferred
  

EXPERIENCE (minimum Years Required)

• 5 years of BH network build and or management experience
• Comfortable in a matrix environment
• Proficient in influencing teams that do not have a direct reporting relationship
  

Skill Requirements

• Proficient in Power Point, Excel, and Word
  

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.
  

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.

Required Skills
Required Experience