Centene Corporation Manager, Behavioral Health in Pensacola, Florida
Position is responsible for ensuring that the MCO’s behavioral health operations, which include the operations of any MCO behavioral health subcontractors, are in compliance with the terms of the MCO’s contract with the State.
Coordinate with all MCO functional areas, including quality management, utilization management, network development and management, provider relations, member outreach and education, member services, contract compliance, and reporting.
Participate in all quality management and improvement activities, including participating in key State stakeholder committees.
Work closely with MCO network development and provider relations staff to develop and maintain the behavioral health network and ensure that it is fully integrated with the physical health provider network.
Partner with UM staff to monitor behavioral health utilization, especially to identify and address potential behavioral health under-or over-utilization.
Act as primary liaison with behavioral health community resources, including Community Mental Health Centers (CMHCs).
Responsible for all reporting related to the MCO’s provision of behavioral health services.
Oversee subcontracts related to behavioral health services.
Education/Experience: Bachelor's degree in Social Services, Psychology, Health Administration, or related field. Master’s degree in a Behavioral Health specialty preferred. 5+ years related experience. Working knowledge of Medicare, Medicaid and health plan administration. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
License/Certification: Licensed clinician (LCSW, LMHC, LMFT) or RN
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.
TITLE: Manager, Behavioral Health
LOCATION: Pensacola, Florida
COMPANY: Leadership, Medical Management
POSITION TYPE: Professional