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
Required Qualifications:Minimum of a Bachelor's degree required 5 years of leadership experience required Prior experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations required 2 years of experience working in a corporate managed health care environment with a thorough understanding of managed care principles, models and financing preferred Strong customer service orientation Strong report writing capability Strong data analysis and PC proficiency Exceptional planning, organization and monitoring skills Relocation assistance to IA provided. This position must sit in IA. 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. Job Keywords: Behavioral, Affordability, Medicaid, Mental Health, Leadership, Director, Iowa
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.