For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The Behavioral Health Practice Management Manager will oversee the team (7-11) responsible for the development of relationships with behavioral health providers/groups/facilities in order to improve and monitor their clinical effectiveness and efficiency, as well as compliance with contractual obligations. This team works closely with Care Advocacy Operations, Network Management, and Program and Network Integrity teams to ensure coordination, effectiveness, and efficiency.
This person must demonstrate strong management, clinical and analytic skills, strong oral and written communication skills, and must be comfortable working closely with behavioral health outpatient providers/groups/facilities. This person will be responsible for providing direct oversight of a national, specialized, clinical team tasked with identifying and addressing outlier provider practice patterns.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Direct oversight and supervision of the Practice Specialists and the daily activities of the team including the following activities:
Communicate with behavioral health practitioners/groups/facilities to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with care advocacy processes and contractual obligations
Identify outlier providers/groups/facilities through analysis of clinical outcomes data, utilization/claims data, complaints, and compliance with care advocacy protocols
Identify market trends as appropriate based on data and market oversight
Effectively administer intervention protocols based on group size and composition, and level of clinical effectiveness and efficiency
Measure improvement of program performance over time
Monitor and report effectiveness of interventions
Modify interventions as appropriate
Interface with other Optum Health Behavioral Health Solutions departments including Care Advocacy, Clinical Network Services, and Program and Network Integrity
Uses data to identify trends, patterns, issues and opportunities that have an impact on the business and utilizes the data to help make sound business decisions and recommendations
Accountability to leadership for delivery of improved clinical outcomes and targeted savings based on Practice Management efforts
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Independent Clinical License – Licensed Master’s degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level Psychologist or RN (BSN) with Behavioral Health experience; Licenses must be active and unrestricted
3+ years of Managed Care experience in a Managed Care setting
3+ years (POST- LICENSURE) clinical experience
Demonstrated leadership experience
Proven solid analytical skills
Demonstrated solid communication skills, both written and verbal
Solid computer skills at the intermediate level, proficiency with MS Office
Ability to balance contractual and clinical considerations
Demonstrated excellent time management and prioritization skills
Preferred Qualifications:
3+ years of people management experience in Managed Behavioral Health Care
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group 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). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
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