This is a leadership level position responsible for Optum behavioral health operations, contract management and relationships with customers, including UHC C&S, state Medicaid Agency (Kansas HealthCare Finance Authority), providers, advocacy organizations and other key stakeholders. The Behavioral Health Executive Director must coordinate with all functional areas of shared services partners, including but not limited to clinical operations, quality management, network development and management, provider relations, member outreach, education and member services, contract compliance and operations including claims and reporting. This position directly impacts financial performance and achievement of overall public sector goals.
Primary Responsibilities:
Oversee and be responsible for behavior support services provided to individuals receiving LTSS (long-term services and supports) and comparable populations
Responsible for working with the BH-CMO to oversee the ongoing management of behavior crisis prevention, intervention, and stabilization services
Responsible for working with the other medical officers and the Pharmaceutical director to ensure the integration of physical and Behavioral Health Services and supports and LTSS, as applicable, for individuals in each of these populations, and to oversee the quality improvement initiatives regarding behavior supports and the appropriate use of psychotropic medications in each of these populations
Lead and direct matrix teams, coordinate day to day operations to achieve goals and ensure contract compliance of all functional areas supporting behavioral health in the market
Provide thought leadership and consultative partnership on behavioral health to UHC C&S Health Plan leadership and the state Medicaid agencies
Identify and analyze local market trends, service gaps and lead the development of mitigation strategies aligned with strategic priorities
Ensure financial stability of programs by analyzing cost drivers and work with finance on solutions
Lead the development and execution of action plans to remedy any audit findings from internal/external audits or state concerns
Establish and maintain relationships with key BH providers and provider associations
Influence innovation across teams to ensure aligned, cohesive progress across technology, marketing and service operations
Partner with growth organization on business development activities to foster growth and contract retention
Required Qualifications:
Must have active licensure in Kansas in one of the following: Licensed Psychologist (LP), Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP), or Clinical Nurse Specialist (CNS) with an advanced practice nursing (APN) degree
Experience with Applied Behavior Analysis (ABA) and directing behavior support services
Thorough understanding of managed care principles, models, and financing
Experience in public sector mental health or non-profit community mental health, or payer or provider with knowledge of Medicaid populations
Solid data analysis and PC proficiency
Residence in Kansas with the ability to travel ~ up to 25% of time to Overland Park, KS
Preferred Qualifications:
5+ years experience in an administrative position in a mental health organization
Experience Certified Community Behavioral Health Clinics (CCBHC)
Solid preference given to candidates with administrative experience in a mental health delivery system and in administering a similar contract
Ability to succeed in a matrixed environment, rapid change & imperfect information
Demonstrated ability to work collaboratively and influence others across a matrixed organization
Demonstrated leadership effectiveness and project management experience
Demonstrated excellent verbal and written communication skills
Solid customer service orientation
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Seniority level
Director
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Optum by 2x