Manager, Behavioral Health - (Bedford, NH)
Position Purpose: 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 Collaborate 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.
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From TopUSAJobs - 1 month ago