BH Clinical Director for Children’s Services - New York - NY

UnitedHealth Group•Jersey City, NJ

22d•$112,700 - $193,200•Hybrid

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Our Product Development and Management groups are vital to our success and are leaders in driving the future growth of UnitedHealth Group. Success in these careers relies on many factors - your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone. If you are located within a commutable distance of 10 Plaza in NYC, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

NYS Licensed Behavioral Health Professional
7+ years of a BH Managed Care setting or BH clinical setting including 2+ years of Managed Care experience.
5+ years of experience working with children
Experience in providing and/or supervising direct care to children and adolescents, as well as foster care
Supervisory Experience with an ability to function within a matrixed organization with shared supervisory experience
Knowledge of state regulatory organizations
Understanding of various levels of care within NYS addiction and mental health services including knowledge of NYS child servicing systems
Available during NYS business hours, 8am to 5pm Eastern as well as for urgent/emergent needs

Nice To Haves

Experience in children’s behavioral health, residential treatment, or comparable child-serving systems of care
Work experience with the State and other key partners
Proven organizational skills with ability to be flexible and work with ambiguity

Responsibilities

Lead children’s behavioral health strategy for children (U21) and foster care populations, focusing on improved outcomes, reduced avoidable ER/inpatient utilization, high-cost member management, and stronger care coordination
Serve as liaison with NYS child-serving and regulatory agencies, including OMH, DOH, OCFS, OPWDD, and OASAS
Monitor children’s services trends through cross-functional forums and convert findings into targeted interventions, including suicide prevention, care transitions, First Episode Psychosis follow-up, TAY, and foster care discharge planning
Provide matrixed clinical leadership and subject matter expertise to Behavioral Health Care Management, Utilization Management, Health Home transformation, and Foster Care Liaison functions
Partner with U21 Case Management and UM leaders on high-utilizer/high-spend members, case consultations, rounds, quality improvement, workforce development, and training needs
Support state initiative implementations and Medicaid Managed Care carve-ins affecting children’s services, including foster care, ABA, and CHP
Coordinate foster care operations across medical, dental, pharmacy, vision, DME, network, and claims teams; review monthly IP, VFCA claims, pharmacy, medical, and dental reports to identify quality and trend opportunities
Set team direction, resolve operational barriers, and adapt departmental priorities to meet business, regulatory, and stakeholder needs