What are the responsibilities and job description for the Behavioral Health Program Manager position at Sunshine State Health Plan?
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.
Position Purpose : Interacts extensively with the behavioral health leadership and cross functional associates within the organization to develop and implement long range behavioral health program strategies. Serves as project manager for projects and initiatives around integration both internally with associates and externally with providers. Assists with BH program and services development of policy and procedure, clinical criteria, work flows and other behavioral health documentation and product development activities.
- Project leads behavioral health and / or behavioral health home program development and integration activities both internally and externally.
- Improves quality of behavioral health product by driving cross functional initiatives.
- Utilizes data to identify and manage change necessary to achieve performance improvement.
- Communicates and educates associates on behavioral health strategy.
- Works to develop and enhance relationships within the provider community, including behavioral health homes, community mental health centers, hospitals and individual providers (BH Providers and PCP's) and groups identified that are participating in Physical / Behavioral integration activities.
- Works with utilization, case and disease management teams to implement and operationalize BH / PH integration initiatives.
- Educates health plan leadership and cross functional staff on behavioral health and integration strategy ensuring all entities understand and support the initiatives.
- Assists with behavioral health provider and / or home provider audits as needed.
- Assists with analysis of behavioral health utilization data, KPI review and monitoring of behavioral health utilization management metrics. Participates with development of corrective action plans and associated activities for areas that need improvement.
Candidate Experience : Required 5 years of experience in behavioral health, preferably in public sector
Preferred Other Managed care experience Licenses and Certifications : A license in one of the following is required : Required Licensed Clinical Mental Health Counselor (LCMHC)
Required Licensed Clinical Marriage & Family Therapist (LCMFT) : Required Licensed Clinical Social Worker (LCSW)
Preferred A Master's Degree in counseling, social work, psychology, or related human service field
Pay Range : $68,700.00 - $123,700.00 per year
Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Salary : $68,700 - $123,700
