UnitedHealth Group-posted 9 months ago
$89,800 - $176,700/Yr
Full-time • Mid Level
Remote • Grand Junction, CO
Insurance Carriers and Related Activities

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Behavioral Health Administrative Service Organization (BHASO) Provider Relations and Contract Manager will serve as an important connection between UnitedHealthcare Community & State Health Plan Clinical Operations and the Colorado Behavioral Health Administration Provider Relations and Contract Management. The BHASO serves all Individuals in the Colorado UnitedHealthcare Community & State Health Plan Medicaid Region. The BHASO Provider Relations and Contract Manager will work in close partnership with the Colorado Community and State Chief Behavioral Health Officer, the BHASO Director, Network Operations and Growth teams to support success of Colorado's BHASO program for behavioral health care and services for all Individuals in the Colorado Community & State (C&S) BHASO region. The BHASO Provider Relations and Contract Manager will support the current BHASO provider and resource network and the development and implementation of the C&S Medicaid and BHASO network including the Colorado Medicaid System of Care Network. They will have accountability for developing and oversight of contract with providers and resources in the BHASO network. The BHASO Provider Relations and Contract Manager will support the Colorado C&S Chief Behavioral Office and the Colorado C&S Children and Youth Medicaid System of Care Manager by delivering direct provider customer service as providers and resources navigate the multi-modal contracting and funding streams under the BHASO.

  • Works directly with Colorado C&S Team and National to Team to assess and monitor key program design elements
  • Serves as a subject matter expert and engages business partners to ensure sustained integration of program design elements
  • Consults with a wide range of business partners to determine the most effective solutions to create sustained success of the program
  • Establishes discipline in aggregating and presenting data to communicate program effectiveness and outcomes
  • Prepares reports and presentations appropriate for broad audiences that communicates program outcomes and performance strengths and opportunities
  • Monitors leading and lagging indicators
  • Conducts root cause analysis and develops trend reports for processes that are operating outside of established parameters
  • Makes recommendations to improve job aids, training, workflows, etc. to ensure successful operations and achievement of program goals
  • Escalates issues to help inform overall program enhancements
  • Establishes a methodology to ensure rapid cycle evaluation and continuous improvement
  • 3+ years of direct or indirect behavioral health care service
  • 2+ years of provider customer service experience
  • 1+ years of experience with MS Office, including Word, Excel, PowerPoint and Outlook
  • Solid process improvement skills / experience
  • Experience managing change initiatives
  • Ability to travel up to 25% for BHA (Behavioral Health Administration) meetings and convenings
  • Resident of Colorado
  • Colorado behavioral health provider licensure
  • 3+ years of successive program administration and leadership experience in behavioral health policy, community integration and network development functions
  • Community & State Health Plan experience
  • Familiar with performance monitoring strategies and tactics (control charts, run charts, etc.)
  • Demonstrated expertise with the continuum of behavioral health modalities
  • Solid influencer with demonstrated skills in innovative thinking to optimize health care system
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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