Manager, HP Behavioral Health- Programs

Job Summary:

The Manager, HP Behavioral Health - Programs is responsible for developing, implementing, and overseeing BH clinical/non-clinical programs and reports to the Ohio Market BH Director.

Additionally, the Manager is responsible for leading the team engaged in collaboration across the Market’s regional and operational leadership to contribute to the operational, clinical and provider execution of the initiative to ensure CareSource’s behavioral health quality, compliance, business, and advocacy goals are met, and to support the defined population and requirements.

Coordinates with Ohio Leadership, Behavioral Health Regional Coordinators and Behavioral Health Initiative Specialists to ensure program execution; with matrixed responsibilities to Enterprise Behavioral Health to ensure needed resources and programs for implementation.

Health Partner engagement shall be measured by confidence in CareSource’s ability to fulfill promises, integrity to make things right when problems occur, pride in working with CareSource and their passion about CareSource being a vital member of the care team.

Essential Functions: Creates and Manages multiple projects in coordination with Ohio and Enterprise BH teams, collect and analyze data and disseminate to appropriate departments as necessary Collaborate with the OH MKT Leadership, HP Behavioral Health and Enterprise BH on the development of the program documentation, workflows, operational processes and resources for program implementation and execution Responsible to ensure initiative alignment with CareSource strategy and programs, business and quality goals Engagement and alignment with Ohio’s regulatory programs to include Medicaid and CMS.

Collaborate with HEDIS team to identify opportunities to improve HEDIS measures Provide BH clinical support for SIU, Case Management, Care4U and Coordinated Services Program, Patient Centered Medical Homes Collaborate with health care services, communications and provider relations to communicate and educate key providers.

Assists with the development and evolution of the team’s strategic direction, annual goals and objectives, recommends new processes and changes for increased department productivity Provide proactive, high-level account development and support in order to drive the overall satisfaction and engagement of key Health Partners Develop and implement the team business plan objectives, both in creating new plans and in identifying and responding to customer needs Develop and educate providers on current Quality Initiatives and Cost Savings Establish and maintain strong working relationships with key internal and external business partners Develop and report on key accomplishments and issues to upper management Set targets and priorities in order to contribute towards meeting overall CareSource Network Strategy Oversee the achievement of customer specific performance guarantees to include operations, clinical, pharmacy, behavioral Implement local strategic plans in order to effectively influence providers, provider associations and Caresource impacted departmental departments Outwardly support and be able to communicate the CareSource mission, goals of senior leadership and other stakeholders to the Health Partner community as well to the Provider Engagement team Ensure appropriate documentation of interactions and projects by all team members Perform any other job duties as requested Education and Experience: Degree in Behavioral Health or Nursing is required, OR Bachelor’s/Master’s in healthcare field is required Behavioral health clinical experience in a community behavioral health center setting preferred Managed Care experience preferred Minimum of one (1) year leadership/management experience preferred Competencies, Knowledge and Skills: Proficient with Microsoft Office to include Word, Excel and PowerPoint Excellent written and verbal communications skills Ability to develop, prioritize and accomplish goals Detail oriented Strong interpersonal skills and high level of professionalism Effective listening and critical thinking skills Effective problem solving skills with attention to detail Ability to work independently and within a team Strong negotiation skills Excellent leadership skills Ability to create and maintain excellent working relationships Licensure and Certification: Employment in this position is conditional pending successful clearance of a driver’s license record check.

If the driver’s license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated Current, unrestricted RN, PCC, LPC, LCSW and/or LISW licensure in the state of practice is required; supervisory designation and/or additional chemical dependency licensure preferred Certification in Case Management preferred To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position.

CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment.

Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations.

CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position.

Request for accommodations will be completed through an interactive review process. Working Conditions: General office environment; may be required to sit or stand for extended periods of time Mobile Worker: This is a mobile position, meaning that regular travel to different work locations is essential.

Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time May be required to travel greater than 50% of time to perform work duties.

A valid driver’s license, car, and insurance are necessary for work related travel Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our member and may refer members to other CareSource resources

Compensation

Range: $83,000.00 - $132,800.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (Hourly/salary)

Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive.

CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. The CareSource mission is known as our heartbeat.

Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count.

Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day.

We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.