.thumb.png.ed42e66117fc66a86498286ff0c7d7ce.png)
Become a part of our caring community and help us put health first
The Director, Behavioral Health Strategy builds behavioral health strategies within Humana Healthy Horizons in Ohio Medicaid as well as the Medicaid segment to develop best practices and processes to improve outcomes for members. The Director, Behavioral Health Strategy requires an in-depth understanding of how organization capabilities interrelate across the function or segment. This position provides oversight and guidance of daily activities of BH services, ensures access to BH services, develops and promotes BH prevention strategies.We are seeking a dynamic and strategic leader to join our team in Ohio! The Behavioral Health Strategy Lead will oversee the behavioral health (BH) clinical program for Ohio’s Medicaid plan enrollees. They will collaborate closely with Clinical and Operational Leaders to integrate the day-to-day administration and strategic management and integration of behavioral and physical health services, including utilization management and care management, while providing subject matter expertise to quality improvement initiatives, population health initiatives, and value-based payment programs. They will be a liaison and partner to provider and member services within Ohio Medicaid as it relates to behavioral health. This position is an individual contributor aligned to the Chief Medical Officer. The scope of works includes, but is not limited, to the following:
- Providing daily operational activities of behavioral health services across the full spectrum of care to members, inclusive of mental health and substance abuse services;
- Ensuring access to behavioral health services;
- Ensuring systematic screening for behavioral health related disorders by utilizing standardized and evidence-based approaches;
- Promoting preventive behavioral health strategies;
- Identifying and coordinating assistance for member needs specific to behavioral health;
- Participating in management and program improvement activities with other key staff (including the Behavioral Health Clinical Director) for enhanced integration with primary care and coordination of behavioral health services and achievement of outcomes
- Working with the Behavioral Health Clinical Director as needed in the development and maintenance of programs and systems
- Collaborates with Clinical Leaders to implement medical policy and population health strategies that advance outcomes for plan members.
Use your skills to make an impact
Required Qualifications
- Clinical Health Licensure- Current and unrestricted Ohio license to provide behavioral health services in the state of Ohio (Registered Nurse with Advance Practice Registered Nurse [APRN] licensure, Psychologist, Licensed Independent Social Worker [LISW], Professional Clinical counselor [PCC], Independent Marriage and Family Therapist)
- Minimum 5+ years of leadership experience in the management of behavioral health programs, behavioral health program and policy development or experience in the provision and supervision of treatment services for mental illness and substance use disorders.
- 2+ years of management/leadership in behavioral health or substance use disorders
- Knowledge and understanding of Ohio's overall behavioral health system that includes mental health, alcohol and drug addiction, and developmental disabilities services.
- Must reside in the State of Ohio or in a neighboring state with a reasonable commuting distance to travel within the State of Ohio.
- Master's degree
Preferred Qualifications
- Prior experience with Medicaid recipients including TANF, Dual eligible, foster care, and enrollees with special health care needs. Experience working knowledge of CMS guidelines
- Experience with medical necessity criteria such as MCG and ASAM
- Health Plan experience
- Medicaid experience
Additional Information
This is remote position with approximately 10% of your time spent in person at State meetings or within an office for required meetings.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Benefits
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families.
nancial security—both today and in the future, including:
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
Modern Hire
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
SSN Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
More Information
Application Details
-
Organization Details
003 Humana Inc.
Recommended Comments
There are no comments to display.
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.