Operations Specialist, Associate
About The Position
The Behavioral Health Utilization Management team provides Utilization Management and Care Coordination for Promise Blue Shield members seeking BHT services. The Operations Specialist, Associate will report to the Sr. Manager of Behavioral Health Utilization Management. In this role you will assist with audit preparedness, act as a Behavioral Health subject matter expert (SME) for Utilization Management and Care Coordination/Management systems development and testing, and contribute to the development of tools, processes, and frameworks that advance best practices and deliver successful utilization management of behavioral health services. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Requirements
- External hires must pass a background check/drug screen.
- Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
- All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Responsibilities
- Assist with audit preparedness.
- Act as a Behavioral Health subject matter expert (SME) for Utilization Management and Care Coordination/Management systems development and testing.
- Contribute to the development of tools, processes, and frameworks that advance best practices and deliver successful utilization management of behavioral health services.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
