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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Behavioral

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Behavioral Health Director, Clinical Operations - MA

UHG - Boston, Massachusetts

Posted: 11/17/2018

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 leadership position is responsible for the overall behavioral health operations, including vision setting and direction, administration and relationship with an external health plan client in Massachusetts.  This position will oversee all key clinical functions, and administer and deploy business processes and technology-enabled solutions to deliver benefit to providers and members in the client’s service area.

 

Primary Responsibilities:

 

This leadership position is responsible for the overall behavioral health operations, including vision setting and direction, administration and relationship with an external health plan client in Boston, Massachusetts.  This position will oversee all key clinical functions, and administer and deploy business processes and technology-enabled solutions to deliver benefit to providers and members in the client’s service area.

  • Coordinates day-to-day behavioral health operations to achieve goals and maintains smooth and efficient functioning to meet the requirements of the client contract

  • Aligns and integrates behavioral health programs, including care coordination, care management and network management, with client programs

  • Coordinates with regional utilization management (UM) teams to ensure effective UM as well as compliance to state specific regulations across all lines of business

  • Interacts closely with the client, Rhode Island providers and other internal and external stakeholders to ensure the success of the behavioral health program

  • Guides directors, managers and supervisors in the effective delivery of services, meeting goals and avoiding all contract penalties

  • Oversees the clinical and administrative supervision of the in-state behavioral health case management team

  • Represents Optum in relevant organizations and meetings, inclusive of client and regulatory commitments

  • Oversees hiring, promotions and disciplinary actions to assure adherence to human capital policies

  • Formulates action plans to remedy any findings from provider audits, utilization reports or provider concerns or in response to client concerns

  • Demonstrates an effective, adaptive leadership style that promotes innovation and accountability and establishes work priorities; delegates pertinent activities

  • Develops reviews and approves documents which provide information and program justification; participate in annual program planning and reporting

  • Provides leadership and direction in the development of appropriate risk management strategies


Required Qualifications:
  • Independently licensed either as a doctor of psychology or master’s-level social worker or professional counselor
  • 5 years’ experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations
  • Minimum 3 years’ experience  of public sector health administration / management
  • Demonstrated leadership effectiveness and project management experience
  • Demonstrated excellent verbal and written communication skills; strong report writing capability  and oral presentation skills
  • Mature data analysis and PC proficiency
  • Strong customer service orientation
  • Demonstrated abilities to build effective teams, facilitate staff working together collaboratively and retain top talent
  • Exceptional planning, organization and monitoring skills
  • Travel - up to 25% regionally
 
Preferred Qualifications:
  • Experience in a recovery-oriented delivery system
  • Strong preference given to candidates with administrative experience in the Massachusetts mental health and substance abuse service delivery system and in administering a similar contract
  • Thorough understanding of managed care principles, models and financing
 
 
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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.
 
 
Job Keywords:  Director, Leadership, Operations, Management, Massachusetts, Managed Care

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