Clinical Operations, Leader, BH Children's Services
Status: Full-time, Exempt: Yes
In collaboration with the Chief Medical Officer and other stakeholders, assists with the development and implementation of behavioral health and integrated medical management strategies for the pediatric population including:
- Care Management Programs
- Utilization Management Programs
- Integrated health model development (physical and behavioral
- Clinical integration with value-based purchasing opportunities
- Alignment of pharmacy with all clinical and non-clinical
- Technology enablement and operational excellence
- Regulatory compliance and accreditation for clinical programs
- Department budget management
- Integrated Quality programming/initiatives
Provides leadership oversight for Behavioral Health Children’s Services. Residence in
New York preferred but not mandatory. Performs other duties as assigned.
R.N. or M.S.W./L.C.S.W. with active license in New York required;
Masters’ degree in Nursing, Business or other related area strongly preferred.
Minimum of 7 years in BH managed care or BH clinical setting, including at least 2
years of managed care experience (preferably Medicaid Managed Care).
Minimum of least five years’ experience with children/pediatric population
A minimum of 5 years of increasing clinical leadership responsibility in a licensed MCO.
Regulatory or accreditation audit experience.
Experience in Medicaid, Medicare and Commercial products with experience in vulnerable and individual populations a plus.
Experience in integrated health delivery (physical and behavioral health) a strong plus.
Experience with value-based purchasing and provider engagement a strong plus.
Highly skilled function in a highly matrixed environment
Flexible management style
Superior communication skills
Superior priority setting and time management abilities
Strong data and system skills
Knowledge of NYS child serving systems required
Strong leadership with managing departments/ associates
- Job Family Medical Management/Clinical
- Pay Type Salary
- Headquarters Office, Schenectady, New York, United States of America
- Rochester Office, Rochester, New York, United States of America
- Tarrytown Office, Tarrytown, New York, United States of America