Manager, Behavioral Health

Company: Oklahoma Complete Health
Location: Oklahoma City
Posted on: September 18, 2023

Job Description:

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 committees
--- 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, Healthcare , Oklahoma City, Oklahoma