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Staff VP Behavioral Health UM - Office based any Anthem location (PS31834)Location: United StatesNewRequisition #: PS31834Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Responsible for governance, delivery and/or infrastructure for GBD wide clinical and non-clinical programs. Primary duties, may include but are not limited to: Responsible for executing on clinical and other performance outcomes, product development, quality / accreditation requirements and favorable financial performance. Oversees multiple GBD BH UM and CM operations. Develops and manages strategies to optimize outcomes, provide service performance expectations, and ensure consistency. Monitors processes, policies and procedures to optimize work processes, maximize efficiencies and ensure compliance with corporate, state and regulatory requirements. Develops, implements, and manages strategic plans for operations and execution, resolves issues and provides guidance. Partners with several key departments within the organization (Provider Solutions, Enhanced Personal Health Care, Sales, Quality, Medical and Legal) to collaborate on key initiatives and execute on various Cost of Care pilots/ initiatives throughout the GBD enterprise. Hires, trains, coaches, counsels, and evaluates performance of direct reports.Requires:
MA/MS in social work, counseling, psychology or related behavioral health field
10 years of behavioral health, medical management and operations experience including 5 years management experience; or any combination of education and experience, which would provide an equivalent background
Current unrestricted LMFT, LCSW, LPC, RN license required
P and L background preferred
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. AnEqualOpportunityEmployer/Disability/Veteran.
Vacancy expired!