Collaborate and engage with multiple internal stakeholders and external customers to implement population health management
Assist in the development of operational strategies and innovative solutions
Maintain awareness of trends, developments, and governmental regulations in managed health care organizations
Manage the operational performance of multiple integrated clinical functions across multiple lines of business
Collaborate and integrate with internal and external customers to deliver a fully integrated care delivery model
Establish and monitor performance and production metrics and goals
Responsible for the oversight, compliance, and execution of all regulatory or accreditation activities

Bachelor’s degree and 8+ years of relevant experience
RN, FNP or other APN certification
For Behavioral Health specific roles, other applicable licensure will be considered (PhD, LMSW, LCSW, LPC, LMFT, etc)
Must have valid NC license or multistate compact license
3+ years of direct supervisory or leadership experience
Experience in behavioral health focused population health, care management, clinical review or coding, or utilization management in a health care organization/system or health insurance

Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match

Manager, Clinical Teams – Behavioral Health Utilization Management

Key skills