Clinical Network Manager

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $75k - $85k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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Lucet

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lucet is a tech-enabled behavioral health company that combines human care teams and digital tools to connect individuals to timely, in-network mental health and substance-use care. It partners with health plans, employers, providers, and members through portals (employer/HR, member, provider, partner) and services such as EAP, care navigation, and provider resources to optimize access, quality, and value-driven behavioral healthcare.

📋 Description

• 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

• 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

• 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