Behavioral Health Practice Management at United healthcare Group in Maryland Heights, Missouri

United healthcare Group
Published
September 16, 2020
Location
Maryland Heights, Missouri
Category
Nursing  
Job Type

Description

Apply You will be redirected to United healthcare Group's preferred application process.

Manager, Behavioral Health Practice Management

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. The Manager of Behavioral Health Practice Management will oversee the team 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. You'll enjoy the flexibility to telecommute 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 OHBS 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 with Behavioral Health experience Licenses must be active and unrestricted Minimum 3 years of Managed Care experience in a Managed Care setting Minimum 3 years (POST
- LICENSURE) clinical experience Minimum 1 year of team lead/supervisor/leadership experience Strong analytical skills Strong communication skills, written and verbal Solid computer skills at the intermediate level, proficiency with MS Office Ability to balance contractual and clinical considerations Excellent time management and prioritization skills

Preferred

Qualifications:
People management experience in Managed Behavioral Health Care Practice Management and/or Clinical Operations experience Project Management experience Experience managing a remote team Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the United
Health Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) All Telecommuters will be required to adhere to United
Health Group's Telecommuter Policy Diversity creates a healthier atmosphere: United
Health Group is an Equal Employment Opportunity/Affirmative Action employer 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. United
Health Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords:
LMFT, LICSW, LISW, LCSW, LP, LPC, LCPC, LPCC, LMHC, RN, Social Worker, Therapist, Counselor, Case Manager, Case Worker, Care Advocate, manager, quality, data analysis, Telecommute Job Details Requisition Number Job Title Manager, Behavioral Health Practice Management Job Family Behavioral Business Segment Optum Consumer Solutions Group Job Location Information Maryland Heights, MO United States North America Additional Job Detail Information Employee Status Regular Schedule Full-time Job Level Manager Shift Day Job Travel No Telecommuter Position Yes Overtime Status Exempt
Job Expires: 2020-10-17
Apply You will be redirected to United healthcare Group's preferred application process.

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