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Behavioral Health Director - Iowa

UnitedHealth Group


Location:
Des Moines, IA
Date:
08/15/2017
2017-08-152017-09-13
Job Code:
1779920
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Job Details


Behavioral Health Director - Iowa(Job Number:728103)
Description

This Behavioral Health Director is responsible for the overall BH clinical affordability functions which include benefit expense management, clinical direction and design, and engagement with health plan and state leaders.  

This position is the primary, local, clinical contact for the Customer and collaborates with the BH Clinical Operations Team to ensure that the clinical needs of the membership are met.  This position will partner closely with Medicaid Product Team, Clinical Operations, Network, Quality, the Optum Relationship Office and all other departments supporting the Customer.  This position directly impacts financial performance and achievement of overall behavioral health goals.
  
Primary Responsibilities:
  • Responsible for oversight, tracking and reporting clinical requirements and performance standards set by the Customer and the State
  • Establish strategic priorities for Benefit Expense Management, and overall affordability initiatives
  • Identify and analyze local market trends, service gaps and the development of mitigation strategies aligned with our strategic priorities
  • Responsible for defining and developing local market - specific mitigation strategies in coordination with clinical operations functional leads, Affordability, Finance and other matrix partners
  • Monitor and oversee local market performance (against both utilization and financial targets to ensure targets are met
  • Collaborate with Clinical Operations for any market required clinical processes. (i.e. development of job aids, QRGs)
  • Serve as Clinical and Affordability lead in monthly / quarterly JOCs and other ad hoc customer and state meetings
  • Collect, and deliver required clinical operations customer reporting as well as develop action plans to address performance issues
  • Collaborate and coordinate with state, providers and other stakeholders in conjunction with the Executive Director and Relationship Office
  • Ensures the timely completion of all clinical contract deliverables
  • Works closely and collaborates with Clinical Operations directors, managers and supervisors in the effective delivery of services and to ensure utilization and customer goals are met
  • Demonstrates an effective, adaptive leadership style that promotes innovation and accountability and establishes work priorities
  • Act as the primary BH clinical source for the Customer, State and other Stakeholders to address routine and complex member issues / concerns
  • As required by Contract, be a physical presence in the community with community providers, state agencies, advocacy agencies / groups
  • Lead and / or participate in local / national clinical projects that result in the development or improvement of local clinical services and / or access to care
  • Routine interface with BH Network to ensure access to care meets the needs of the membership
  • Routine interface with the Optum Relationship Office to ensure contractual obligations and market expectations are being met
  • As required by Contract, conduct / attend ad hoc trainings with provider community as requested
  • As required by Contract, lead and / or participate in provider forums as needed

Job General Operations Management
Primary Location US-IA-Des Moines
Other Location 
Organization Optum Behav Hlth Public Sector
Schedule Full-time
Number of Openings 1
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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.

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