Independence Blue Cross · 5 months ago
Population Health Specialist, ABA services - Hybrid (PA/NJ/DE)
Philadelphia, Pennsylvania
Full-time
Hybrid
Mid Level
3+ years expIndependence Blue Cross is looking for a dynamic Population Health Specialist for Autism/Applied Behavioral Analysis (ABA) Services to lead initiatives and programs aimed at enhancing access and quality of services for neurodivergent populations. The role involves developing autism provider performance measurement approaches, collaborating with stakeholders, and operationalizing best-in-class autism programs.
Health CareHealth InsuranceInsuranceMedical
Responsibilities
Supports behavioral health leadership in implementing initiatives in multi-year strategy to enhance behavioral health services and programs, including autism/ neurodiversity access strategies, advocacy throughout the IBX system for neurodiversity inclusion and best practice approaches to supporting neurodivergent population health, including but not limited to autism care management program development
Participates in identification, development and valuation of opportunities for holistic autism program development including access strategies, provider quality and partnership opportunities, outcomes measurement, and process improvement
Develops autism provider performance measurement approaches and contributes to enterprise performance initiatives for behavioral health. Coordinates with stakeholders to integrate behavioral health measurement in current and future quality improvement methodologies. Supports provider relationship development to improve access and increase focus on clinical outcomes
Partners with network and IBX stakeholders in support of operationalizing best-in-class Autism program including:
Work directly with providers to foster positive relationships, including developing provider-facing communications to enhance provider satisfaction and understanding of IBX processes and expectations of providers
Deliver training and education to support quality results and member experience
Lead regular meetings to discuss processes, data /quality measurement, progress, improvement initiatives, quality campaigns, address care gaps
Other activities in support of ASD care management operations including: access/capacity management system to support care navigation and connection to care, utilization and care management, identification and implementation of best practices in autism /neurodiversity programming designed to drive value
Serves as point of contact and facilitates resolution of administrative issues for ABA providers including claims, credentialing, and other key services
Collaborates with data and actuarial services to demonstrate the impact of interventions via medical cost offset
Role includes an operational focus requiring project management competencies, data analyses, program goals, success measures, performance specifications, and output requirements to drive program development and execution progress
Qualification
Required
Bachelor's degree; Master's degree in health-related fields a plus (e.g. MA, MPH)
3-5 years' experience working with children and or adults with autism, experience providing case management or utilization management services for people with autism spectrum disorder
Experience interacting with behavioral health providers, preferably ABA providers, in a professional, respectful manner that facilitates the treatment process
Demonstrated knowledge and experience with quality autism care, autism care management programming and processes, behavioral health measures and quality outcomes
Demonstrated experience with HEDIS® measures required
Strong verbal and written communication skills including but not limited to effective group presentations to professional staff and management
Must be self-motivated, organized, and detail oriented, assume a collaborative role in ensuring that all objectives are met
Must be able to work moderate complexity tasks independently
Must have strong knowledge of Microsoft Office products (Outlook, Word, Excel, and PowerPoint)
Must have strong analytical, influencing, and problem-solving skills
Must be a team player- builds team spirit and interdepartmental rapport, using effective problem-solving and motivational strategy
Must have a strong commitment to total quality management and process improvement
Acts as a resource for department, using focused professionalism and effective interactions
Embrace the diversity of our workplace and show respect for colleagues internally and externally
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
Preferred
Ability to travel in the Greater Philadelphia area preferred (driver's license and insured vehicle)
Knowledge of medical billing, claims processing systems, and health care information terminology preferred
Company
Independence Blue Cross
The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Alexandra Jorgensen
Senior Vice President Human Resources
Joe Geist
SVP & Market President, National
Recent News
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2026-01-14
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