4 days old

Manager, Behavioral Health Practice Management

Maryland Heights, MO 63043
  • Job Code
    887857

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

 

",

Categories

Posted: 2020-10-15 Expires: 2020-11-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Manager, Behavioral Health Practice Management

UnitedHealth Group
Maryland Heights, MO 63043

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast