Apply Now

Clinical Operations, Sr. Leader, Behavioral Health

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 Req #160
Wednesday, July 3, 2019
Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people  with diverse backgrounds and experience—tech people, numbers people, even people people—to make health insurance more convenient, more supportive, and more personal. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP.

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.

 

POSITION QUALIFICATIONS

 

Minimum Education:

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 Experience:

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.

 

Required Skills:

  • 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.

MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details

  • 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