Qureos Mentor

Independence Blue Cross

<div>Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
The Behavioral Health Population Health Specialist leads initiatives and programs to enhance access, quality and value in across the IBX organization.
1. Supports behavioral health leadership in implementing initiatives in multi-year strategy to enhance behavioral health services and programs, including access strategies, digital navigation, related technology initiatives.
2. Serve as subject matter expert in the development, design, strategy alignment and implementation, of existing and new BH value-based performance initiatives to improve clinical and quality outcomes.
3. Lead efforts to develop a BH provider continuous improvement model
4. Works throughout the organization and with IBX Population Health group to integrate behavioral health measures into current and future quality improvement initiatives, demonstrating knowledge of HEDIS/STARS measures and experience in driving improvement.
5. Supports continuous assessment of network needs for gap closure both locally &amp; OOA
6. Partners with analytics and data leaders to formulate/ capture and utilize BH data, spanning introductory projects through advanced analytic initiatives, championing innovation and quality improvement in BH programs through outcomes reporting and data insights.
7. Utilizes experience with continuous quality improvement methodologies to identify and support BH initiatives focused on reduction in cost and improvement in quality and experience.
8. Works collaboratively with product management team; consults and supports identification and implementation of BH product opportunities.
Qualifications - Qualifications &amp; Education<ul><li> Bachelor&rsquo;s degree with minimum 5 years in progressive advancement in MBHO setting, master&rsquo;s degree in behavioral health-related field, preferred. Master&rsquo;s degree plus MBHO experience strongly preferred.</li><li> Prior experience in BH case management, utilization management, provider relations preferred</li></ul>
Experience, Knowledge, and Skills<ul><li> 5 + years&rsquo; experience working in a human service, behavioral health, MBHO setting</li><li> Demonstrated knowledge and experience with behavioral health quality measurement and improvement including BH HEDIS&reg; measures</li><li> Deep understanding of integrated behavioral health care /whole health models</li><li> Project management competencies, must have strong knowledge of Microsoft Office products (Outlook, Word, Excel, and PowerPoint)</li><li> Experience in Lean, Six Sigma, TQI, TQC or other quality management certification</li><li> Ability to manage multiple priorities/projects effectively with limited supervision</li><li>
Strong quantitative, analytical, and time management skills</li></ul><ul><li> Knowledge of medical billing, claims processing systems, and health care information terminology preferred</li><li> Strong verbal and written communication skills including but not limited to effective group presentations to professional staff and management.</li><li> Embrace the diversity of our workplace and show respect for colleagues internally and externally</li></ul>
<div>Hybrid
Independence has implemented a &ldquo;Hybrid&rdquo; model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday &amp; Thursday) and remotely 2 days a week (Monday &amp; Friday). This role is designated as a role that fits into the &ldquo;Hybrid&rdquo; model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania. 
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. 
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.</div></div>

Population Health Specialist (Behavioral Health) - Hybrid (PA/NJ/DE)

Join Independence Blue Cross and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Independence Blue Cross

ABOUT_COMPANY

Population Health Specialist (Behavioral Health) - Hybrid (PA/NJ/DE)