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Manager of ESPDT - Brentwood, TN

UnitedHealth Group

Brentwood, TN
Job Code:
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Job Details

Manager of ESPDT - Brentwood, TN(Job Number:706196)

Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care.
The Clinical Operations team is seeking a Manager of EPSDT.  The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides health care services to children younger than 21 who are enrolled in Medicaid. In this role, you will monitor and support health plan quality improvement initiatives with particular emphasis on compliance with state and federal regulatory and accreditation requirements. You'll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives. Here's your opportunity to discover your life's best work.(sm) 
This is an office based position in Brentwood, TN.
Primary Responsibilities:    
  • Oversees the implementation of plan EPSDT quality improvement program
  • Works to coordinate initiatives within C&S Clinical Operations in order to improve EPSDT performance and to close gaps in care
  • Collaborates with C&S Quality on EPSDT initiatives to improve outcomes
  • Manages EPSDT Playbook or work plan programs and activities
  • Collaborates across business segments to achieve goals and targets
  • Develops and maintains positive relationships with State client and external organizations
  • Helps ensure the creation, integration, maintenance, approval of the EPSDT Playbook or work plans
  • Continuously monitors EPSDT interim results and adjust programs to insure meeting targeted goals
  • Manages compliance with TennCare Kids contractual requirements and annual EPSDT audit
  • Supports PIPS, accreditation and regulatory audits as needed
  • Interviews, hires, and supervises EPSDT staff
  • Develops, mentors, and coaches staff

Job Case Management
Primary Location US-TN-Brentwood
Other Location 
Organization C&S Quality Management
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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