Manager, Behavioral Health
Company: Oklahoma Complete Health
Location: Oklahoma City
Posted on: September 10, 2023
You could be the one who changes everything for our 28 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
workplace flexibility.Oklahoma Complete Health, a Centene company,
is committed to providing quality healthcare solutions to transform
the health of Oklahomans.
At Oklahoma Complete Health, we are community advocates and
change-makers in search of an inclusive culture grounded by our
commitment to work-life balance, competitive compensation, and
continuous career development. Join us and be a part of a
collaborative, growing network of innovative thinkers delivering
solutions at the local level.
Position Purpose: Position is responsible for ensuring that the
MCO's behavioral health operations, which include the operations of
any MCO behavioral health subcontractors, are in compliance with
the terms of the MCO's contract with the State--- Coordinate with
all MCO functional areas, including quality management, utilization
management, network development and management, provider relations,
member outreach and education, member services, contract
compliance, and reporting.
--- Participate in all quality management and improvement
activities, including participating in key State stakeholder
--- Work closely with MCO network development and provider
relations staff to develop and maintain the behavioral health
network and ensure that it is fully integrated with the physical
health provider network.
--- Partner with UM staff to monitor behavioral health utilization,
especially to identify and address potential behavioral health
under -or over-utilization.
--- Act as primary liaison with behavioral health community
resources, including Community Mental Health Centers (CMHCs)
--- Responsible for all reporting related to the MCO's provision of
behavioral health services.
--- Oversee subcontracts related to behavioral health
services**Must reside in Oklahoma**Education/Experience: Bachelor's
degree in Social Services, Psychology, Health Administration, or
related field. Master's degree in a Behavioral Health specialty
preferred. 5+ years related experience. Working knowledge of
Medicare, Medicaid and health plan administration. Previous
experience as a lead in a functional area, managing cross
functional teams on large scale projects or supervisory experience
including hiring, training, assigning work and managing the
performance of staff.License/Certification: -LCSW, LMFT or LPC, or
a PhD, PsyD or RN requiredFor Oklahoma Complete Health only:
-Children's Specialty Program - Knowledge in Oklahoma Child Welfare
systems, Behavioral Health, trauma, resources for caregivers,
foster parents, HEDIS and quality measures. -Our Comprehensive
Benefits Package: Flexible work solutions including remote options,
hybrid work schedules and dress flexibility, Competitive pay, Paid
time off including holidays, Health insurance coverage for you and
your dependents, 401(k) and stock purchase plans, Tuition
reimbursement and best-in-class training and development.Centene is
an equal opportunity employer that is committed to diversity, and
values the ways in which we are different. All qualified applicants
will receive consideration for employment without regard to race,
color, religion, sex, sexual orientation, gender identity, national
origin, disability, veteran status, or other characteristic
protected by applicable law.
Keywords: Oklahoma Complete Health, Oklahoma City , Manager, Behavioral Health, Executive , Oklahoma City, Oklahoma
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