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 Director of BH and LTSS Network Strategy, in this highly visible role, the Manager of Behavioral Health Network is responsible for contracting the entire BH Network for the Medicare, Medicaid and Commercial suite of products across multiple states. The Manager of BH Network will be a central point of contact for the BH Network. 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:

• 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
• Assist in VBP programs for various provider types
• Development of network BH training and reporting materials
• Other duties and projects as assigned.
  
  

*

Qualifications:

Education Required:

* Bachelor's degree in related field, Master's degree preferred

Experience 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

Required Licensure, Certification or Conditions of Employment:

* Successful completion of pre-employment background check

Competencies, Skills, and Attributes:

• Proficient in Power Point, Excel, and Word

Working Conditions and Physical Effort:

• 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.

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.