Job Description - Vice President, Clinical Services-Optum Health Behavioral-Houston (306548)
Job Description
Vice President, Clinical Services-Optum Health Behavioral-Houston-306548
Description
OptumHealth Behavioral Solutions is driven by powerful and propriety clinical management methods that optimize the health and well-being of individuals. All Behavioral Solutions programs incorporate state-of-the-art predictive modeling, outcomes management and evidence-based best practices. The result is better care and a reduction in overall health care costs.
The VP, Clinical Operations- OptumHealth Behavioral Solutions is responsible for overall management of clinical services delivered at the Houston Texas Care Advocate Center (CAC). Specific areas of accountability include overall clinical service delivery; utilization management; clinical quality; compliance with regulatory, accreditation, corporate and customer requirements; staff productivity, retention and development. Responsible for adhering to quality of care and best practice guidelines, ethical standards and protocols, corporate standards and clinical outcomes for the CAC membership. Works well as part of a multi-disciplinary team within a matrix organization. Collaborates on developing and managing care to established targets. Uses data to develop targeted interventions in response to quality and care management issues. Collaborates effectively with shared services, such as clinical network services and quality improvement to achieve clinical, utilization management and other CAC goals.
Leads Care Advocacy teams to ensure focus on:
- Improving clinical quality, access to care and evidence-based practice
- Keeping healthcare affordable through innovation, technology and continuous quality improvement
- Collaborating with customers to provide unique and integrated products
- Engaging consumers in their quest to live healthier lives
- Delivering services that support the principles of fairness, integrity and human dignity
- Network and provider relationships
- Uses data to monitor results and develop targeted interventions in response to quality and care management issues
- Ensures clinical operations compliance with regulatory, accreditation, corporate and customer requirements
- Hires, manages and retains effective leaders to ensure a focused, results-oriented team approach to care advocacy. Provides direction, development and coaching of direct reports as well as care advocacy teams.
- Facilitates a positive culture that supports corporate goals, promotes individual and team initiative and fosters open communication through all levels of the organization.
- Supports product development, sales and account management, as needed, by representing clinical operations on behalf of the CAC
Qualifications
- 5+ years experience in a senior management position in a managed behavioral healthcare organization (MBHO) with direct responsibility for utilization management. Must have a proven track record of working with self-insured and risk-based products, regional health plans, national direct customers, and other large, complex customers
- Demonstrated success in human resource management, including hiring, leading, training and motivating care advocate teams with a continuous quality improvement (CQI) focus
- Excellent verbal and written communication skills with demonstrated ability to develop strong and influential relationships with internal, external and potential customers
- Strong analytical skills and managing data to determine root causes, and as a basis for action plan development and achieving performance outcomes
- Strong clinical background that includes utilization management, data analysis and trending, and complex problem-solving with a record of achieving established goals.
- Masters level licensure in a behavioral health clinical field is required
- Graduate degree in behavioral health is required
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
Job General Operations Management
Primary LocationUS-TX-Houston
Organization Behavioral Solutions
Schedule Full-time
Number of Openings 1
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