Beacon Health Options

Location PA: Seven Fields Job Family Network Contracting/Provider Relations Job Brief We are currently seeking a dynamic Provider Quality Manager to join our team at our office in Cranberry Township, PA! ABOUT THE POSITION We are currently seeking a dynamic Provider Quality Manager to join our team at our office in Cranberry Township, PA! Quality Managers (PQM) are strategically oriented professionals who help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon members. PQMs achieve this by building highly collaborative strategic partnerships and bringing an analytic mindset to discussions with providers. PQMs drive provider performance improvement year-over-year through education and data. PQM performance is assessed not only on the ability to establish relationships and engage providers, but also by evidence of measurable improvements in clinical and...

Location CT: Rocky Hill (500 Enterprise Drive, Suite 4D) Job Family Clinical, Licensed Job Brief We are currently seeking a dynamic ASD Intensive Care Manager to join our team at our office in Rocky Hill, CT. Exempt ABOUT THE POSITION We are currently seeking a dynamic ASD Intensive Care Manager to join our team at our office in Rocky Hill, CT. The ASD Intensive Care Manager performs an integral role by facilitating high quality, cost effective managed behavioral health care for members meeting the target population. The BCBA and Licensed Clinician will provide a thorough evaluation of needs and work collaboratively with treating providers, the youth, and family members in order to connect the child or youth to the appropriate level of care and decrease utilization and length of stay in higher levels of care (e.g., inpatient hospitalization, emergency department). They will function as part of an interdisciplinary team designed to meet the needs of the...

Location MI: Grand Rapids Job Family Clinical, Licensed Job Brief Beacon Health Options is currently seeking a dynamic a Senior BCBA Care Manager to join our team in Grand Rapids, MI. The BCBA Senior Care Manager will be responsible for the timely utilization management and review for members eligible for ABA services. About the Position: Beacon Health Options is currently seeking a dynamic a Senior BCBA Care Manager to join our team in Grand Rapids, MI. The BCBA Senior Care Manager will be responsible for the timely utilization management and review for members eligible for ABA services per health plan guidelines. Position Responsibilities: Review Board Certified Behavioral Analyst (BCBA) Assessments submitted by providers for adherence to ASD "best practice" guidelines within required time guidelines.. Provide peer-to-peer case consultation to BCBA network providers support treatment planning and maximize member progress. Act as a liaison with parents and...