Regional Vice President, Behavioral Health - (Clayton, MO)
Regional Vice President, Behavioral Health Position Purpose: Oversee and direct all clinical operations, including care management and coordination, and utilization management - Establish the business unit's clinical strategic vision, objectives, policies and procedures to ensure delivery of cost effective, clinically appropriate services in all markets - Monitor performance results against established metrics and benchmarks and recommend improvement opportunities - Serve as the subject matter expert and participate in all new implementations - Oversee utilization and care management across all markets - Participate in customer, health plan, and QI meetings - Oversee the production of reports required by the contract and management - Collaborate with various departments to resolve provider claims issues - Ensure effective care is delivered to members while achieving utilization management goals - Oversee annual budget for clinical operations - Drive efforts to increase staff ability at shaping providers to
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From TopUSAJobs - 1 month ago