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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in value-based care initiatives, provider performance improvement, and behavioral health management. Proficient in developing targeted improvement plans and collaborating with clinical teams to enhance outcomes for diverse populations.
Highest-signal resume keywords
Master’s Degree In Behavioral HealthClinical Social Worker LicenseBehavioral Health Clinical ProtocolsOutcomes-Based Reimbursement StrategiesFinancial Analysis Using Claim Data
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Performance ImprovementValue-Based Care InitiativesContract NegotiationCustomer Relationship ManagementSubstance Use Step-Down Levels Of CareClinical Practice ExperienceData AnalysisProgram DevelopmentWorkshop CoordinationTeamwork
Soft Skills
CommunicationCollaborationLeadershipProblem-SolvingEducation
Tools & Technologies
Microsoft Office SuiteMicrosoft ExcelClaim Data Analysis
Certifications & Qualifications
Current Unrestricted State LicenseValid Driver’s License
Industry Keywords
Value-Based Contracting ModelsBehavioral HealthClinical OutcomesHigh-Risk Member PopulationsHealth Care Management Principles
About the role
Key responsibilities & impact- Drive provider performance improvement and value-based care initiatives
- Analyze provider data and identify performance opportunities and outliers
- Support transition to value-based contracting models
- Develop targeted improvement plans for underperforming providers
- Serve as a clinical and provider relations liaison
- Partner with internal clinical, quality, and analytics teams and network providers
- Enhance collaboration and improve clinical outcomes
- Address provider needs and support communication across stakeholders
- Lead provider education and network development efforts
- Create and implement programs, training, and educational resources
- Coordinate workshops and meetings
- Promote best practices
- Develop specialized services for diverse and high-risk member populations
Requirements
What you’ll need- Master’s Degree in behavioral health field
- Current, unrestricted state license to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse
- Minimum of two (2) years post-licensure clinical experience of clinical practice
- Understanding and proficiency in health care management principles related to substance use and/or mental health
- Knowledge of outcomes-based reimbursement strategies
- Knowledge of behavioral health clinical protocols
- Knowledge of contract negotiation
- Knowledge of customer relationship management
- Knowledge of substance use step-down levels of care within residential, inpatient and outpatient settings
- Experience conducting financial analysis using claim data and Microsoft Excel spreadsheets
- Proven track record of teamwork to achieve business-related goals improving quality and cost of care
- Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook
- Ability to travel up to 50%
- Valid driver’s license and proof of insurance
- Ability to pass background checks and screenings upon hire and throughout employment
- High-speed internet service with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds
Benefits
Comp & perks- Annual performance-based, discretionary incentive
- Medical, dental, and vision coverage
- 401(k) with competitive employer match
- Company-paid life and disability insurance
- Paid parental leave and wellbeing incentives
- Generous paid time off, including volunteer time
- Flexible spending accounts for healthcare and dependent care
- Professional development opportunities and tuition reimbursement
- Remote work flexibility (role-dependent)
- Company-provided equipment
- Meaningful growth opportunities, personally and professionally
