Director of Managed Care Health Plan in Behavioral Health
Norfolk, VA or Richmond, VA area

Currently seeking a talented and dedicated Director of Managed Care Health Plan in Behavioral Health for a great opportunity in the Norfolk, VA or Richmond, VA area. The ideal candidate will possess at least 3 years of current Managed Care Health Plan in Behavioral Health experience and have 3-5 years of Director-level leadership experience.

    Responsibilities of the Director of Managed Care Health Plan in Behavioral Health
    • Responsible for the strategic leadership of behavioral health and addiction recovery treatment services for the health plan
    • This includes program development, design, outcomes measurement, and evaluation of behavioral health programs for all lines of business
    • Leads the identification and initiation of process improvements and implementation of projects for new services, contract requirements, and regulatory requirements
    • Stays abreast of NCQA, DMAS, and CMS policies and standards and oversees compliance with policies, programs, and service delivery
    • Partners with the Health Plan Quality team to maximize HEDI, CAHPS, and STARS ratings which integrate behavioral health services
    • Develops and monitors training for operational expansion and product development as it relates to behavioral health
    • Oversees root cause analysis and associated actions to improve clinical outcomes
    • Serves as the Behavioral Health representative to DMAS and other external stakeholders Behavioral Health-related initiatives
    Requirements of the Director of Managed Care Health Plan in Behavioral Health
    • Bachelor's Level Degree in either Clinical Psychology, Nursing, Social Work, is required
    • Master's degree is preferred.
    • Required: Clinical Social Worker License, Professional Counselor License, Registered Nurse License
    • 5 years of experience in Behavioral Health
    • 3 years of current experience in Managed Care Health Plan in Behavioral Health
    State
    VA
    City
    Norfolk
    Date Posted
    1/06/2021
    Job Type
    Permanent