Behavioral Health Home Practice Management Director

UnitedHealth Group - Phoenix, AZ (30+ days ago)3.6

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

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 home leadership and personnel. This person will be responsible for providing direct oversight of a regional, specialized, clinical team tasked with managing and improving behavioral health home performance using analytics, audits, and other tools in our Public Sector dedicated markets.

The Behavioral Health Home Practice Management Director will oversee the team responsible for the development of relationships with dedicated public sector behavioral health homes in order to improve and monitor their clinical effectiveness and efficiency, as well as compliance with contractual obligations. This team works closely with health plan partners, Care Advocacy Operations, Network Management, and Program and Network Integrity teams to ensure coordination, effectiveness, and efficiency.

Primary Responsibilities:
Direct oversight and supervision of the Behavioral Health Home Practice Specialists and the daily activities of the team including the following activities:
Communicate with behavioral health home leadership and personnel to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with care advocacy processes and contractual obligations
Regularly facilitate oversight meetings with the IHH to monitor, present, and discuss performance

Monitor BHH performance on program metrics, quality outcomes and adherence to contract requirements

Conduct BHH program audits and provide feedback and results

Identify performance improvement opportunities through analysis of clinical outcomes data, utilization / claims data, complaints, and compliance with applicable protocols / policies
Initiate and monitor Performance Improvement Plans to drive performance
Identify market trends as appropriate based on data and market oversight
Measure improvement of program performance over time
Monitor and report effectiveness of interventions
Modify interventions as appropriate
Deliver education and training

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.

Represent the BHH program internally and externally, including interface with health plan leadership, state representatives, large provider groups and provider associations

Required Qualifications:
Licensed Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level Psychologist, or Registered Nurse

License must be active and unrestricted
Minimum three years of management / supervisory experience
Minimum three years (POST - LICENSURE) clinical experience
Solid computer skills at the intermediate level, proficiency with MS Office

Preferred Qualifications:
Strong analytical skills
Minimum three years of Managed Care experience in a Managed Care setting
Strong communication skills, written and verbal
Ability to balance contractual and clinical considerations
Excellent time management and prioritization skills

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 UnitedHealth 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)

Diversity creates a healthier atmosphere: UnitedHealth 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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.