Network Support Consultant

Anticipated End Date:

2025-06-16

Position Title:

Network Support Consultant

Job Description:

Network Support Consultant

Location: Hybrid1: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.  This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. 

Carelon Behavioral Health, Inc. is enthusiastically supporting the CYBHI Fee Schedule program managed by the Department of Health Care Services (DHCS) as their dedicated Third-Party Administrator. Our goal? To improve the mental health services offered to California's young students via this pivotal initiative.

We're expanding our team and eager to connect with professionals experienced in healthcare administration, network management, provider relations, and program support. With this program, we're aligning our goals with Governor Newsom's Kids’ Mental Health and the Children and Youth Behavioral Health Initiative (CYBHI). We're working closely with DHCS, the Department of Managed Health Care (DMHC), and the California Department of Insurance (CDI) to implement a multi-payer fee schedule, ensuring fair reimbursement for school-linked providers offering designated outpatient mental health and substance use disorder services.

The Network Support Consultant is responsible for providing quality, accessible and comprehensive service to the company's provider community. Providers in this program include Local Education Agencies, County Offices of Education, public Institutions of Higher Education, Billing Vendors and Affiliated Providers.

How you will make an impact:

• Ensures that the health care management's strategic initiative are communicated to the accounts and they meet the account's needs in terms of access, cost, quality, network performance, and service.
• Ensures that specific divisional targets for cost of care and provider satisfaction within the scope of the assigned program are achieved.

Minimum Requirements:

• Requires a BA/BS degree and a minimum of 2 years healthcare experience in Provider Relations, Contracting, or other area of Health Care Management; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Contracting/Agreements execution experience strongly preferred.
• Medi-Cal experience preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $71,668 to $107,502

Locations:  Woodland Hills, California

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

PND > Network Contracting

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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