Behavioral Health Network Relations Manager – Louisiana
Core
Primary resource for high-profile Behavioral Health providers to establish and maintain relationships, resolving complex issues related to Medicaid policies, contract language, claims, and provider education.
Role type
Individual contributor network relations manager
Builds
Positive provider relationships and operational support for Medicaid Managed Care
Domain
Healthcare / Medicaid Managed Care / Behavioral Health
Deliverable
client delivery
Required skills
Medicaid policy interpretation, contract management, provider credentialing support, cross-functional collaboration, database management, provider education, problem resolution, Microsoft Office proficiency
Preferred skills
Medicaid regulatory standards knowledge, medical terminology (CPT, ICD-10), network performance standards
Responsibilities
Optimize interactions with assigned providers, monitor service capabilities, resolve escalated claims and contract issues, support credentialing activities, educate providers on compliance, facilitate external provider meetings, manage provider system implementations
Seniority
Mid-level, hands-on IC