Clinical Operations, Sr. Leader, Behavioral Health
Status: Full-time, Exempt: Yes
In collaboration with the Chief Medical Officer and other stakeholders, responsible for overseeing the development and implementation of behavioral health and integrated medical management strategies for:
Care Management Programs
Utilization Management Programs
Integrated health model development (physical and behavioral health)
Clinical integration with value-based purchasing opportunities
Alignment of pharmacy with all clinical and non-clinical stakeholders
Technology enablement and operational excellence
Regulatory compliance and accreditation for clinical programs
Department budget management
Integrated Quality programming/initiatives
Provides senior leadership oversight for Behavioral Health Utilization Management, Behavioral Health Case Management, Clinical Director Children’s Services and HARP areas. 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 Behavioral Health managed care or Behavioral Health clinical setting.
A minimum of 5 years of increasing clinical leadership responsibility in a licensed managed care organization (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.
Strong Leadership with managing departments/ associates.
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- 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