Behavioral Health Director – Kentucky – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

  

This position is responsible for Optum behavioral health operations, contract management and relationships with customers, including UnitedHealthcare Community & State (UHC C&S), state Medicaid Bureau, providers, advocacy organizations and other key stakeholders. The Director coordinates 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.

  

If you are located in Kentucky, you will have the flexibility to work remotely* as you take on some tough challenges. 

  

Primary Responsibilities:

• Coordinate day to day operations (including claims, clinical, regulatory, network, etc.) to achieve goals and ensure compliance of all functional areas supporting behavioral health in the market
• Lead and direct teams to ensure compliance with contract deliverables 
• Guide stakeholders and matrix partners in the effective delivery of services, achievement of metrics, and avoidance of all contract penalties
• Lead the development of action plans to remedy any findings from internal or external audits, utilization reports, as well as provider, member, Health Plan or state concerns by engaging with shared services
• leadership, identifying linkages with other Health Plan corrective action plans (CAPs), and formulating go-forward strategies with Health Plan
• Has full delegation to represent the Health Plan for all BH functions and make decisions accordingly
• Develop annual strategic plan incorporating affordability, network strategy and clinical innovation leveraging broader OBH strategy and including local state and Health Plan issues
• Identify and capitalize on opportunities to communicate and collaborate with stakeholders through presentations, written materials, and direct interactions
• Provide thought leadership to C&S Health Plan leadership and state Medicaid agency around behavioral health for any regulatory actions; Participate in C&S Executive/Senior Leadership meetings
• Provide leadership and direction in the development of appropriate risk management strategies. Work closely with the customer, Optum and UnitedHealth Group team members, providers, and stakeholders to ensure timely and appropriate implementation of these strategies
• Assist with forecasting revenue or savings opportunities associated with product development initiatives
• Lead the definition and development of local market performance against contractual, clinical, and fiscal targets. Identify and analyze local market trends and service gaps; develop mitigation strategies aligned with strategic priorities
• Drive innovation across teams to ensure aligned, cohesive progress across technology, marketing, and service operations
• Collect and deliver required clinical operations customer reporting
• Provide leadership and opportunity to sales and business development staff around market priorities and strategies to foster growth and account retention
• Engage with Optum Behavioral Health and Enterprise Clinical services Clinical leadership and Operations team on all clinical activities and initiatives; provide thought leadership to C&S Health Plan and the State around clinical innovation.

  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications:

• Independent, current, and unrestricted Kentucky state license to provide behavioral health services in the state  (MD, DO, APRN, psychologist, licensed independent social worker (LISW) professional clinical counselor (PCC), independent marriage and family therapist) with a minimum of five years’ experience in the provision of supervision of treatment services for mental illness and substance use disorder  
• 7+ years of managerial and administrative experience in public sector, managed care or behavioral health care 
• Experience managing Profit and Loss (P&L); responsibility for a large budget, etc. 
• Knowledge and understanding of the state’s overall behavioral health system that includes mental health, substance use, and developmental disabilities services
• Thorough understanding of and experience with managed care principles, models, and financing required 
• Proficiency with Microsoft Office Suite 
• Demonstrated to possess solid planning, organizational and monitoring skills
• Demonstrated to possess solid data analytic skills; ability to identify gaps, trends, and mitigation strategies
• Demonstrated ability to work collaboratively and influence others
• Demonstrated excellent verbal and written communication skills

 

Preferred Qualifications:

• Experience in a recovery-oriented delivery system 
• Demonstrated ability to achieve goals in a highly matrixed environment  
• Demonstrated leadership effectiveness and project management experience
• Demonstrated solid customer service orientation
• Demonstrated abilities to build solid and effective teams, facilitate staff working together collaboratively, and grow and retain top talent

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

The salary range for this role is $124,500 to $239,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

  

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.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.