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Clinical Implementation Specialist

Company: Health Net, Inc.
Location: Chesterfield
Posted on: June 14, 2019

Job Description:

Description: Position Purpose: Facilitate program development and implementation for the Clinical team from requirements gathering to project planning to execution * Research and review request for proposal (RFP) and contracts to ensure policies and procedures align with contract requirements for the state and health plan * Coordinate with various functions on responses for RFP submission, including gathering of success stories and data to support clinical interventions * Identify NCQA and state requirements and ensure development of compliant program descriptions, policies and materials * Develop and manage project plan for the implementation and ensure compliance with established timelines * Serve as the liaison between Cenpatico and new market for the behavioral health product through the implementation phase * Assist with the development policies and procedures for behavioral health product for new markets * Assist in the pre-implementation development of the medical necessity criteria, outpatient treatment requests, internal reference documents, and additional internal training documents * Assist with the development of training materials for providers for new markets., including reference guides and presentation materials, for new markets * Collaborate with the clinical team and various functions on rational for new clinical programs within the market on return on investment and contract deliverables * Ability to travel up to 30% of the time

Keywords: Health Net, Inc., Chesterfield , Clinical Implementation Specialist, Healthcare , Chesterfield, Missouri

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