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Director Behavioral Health Programs & Services

Company: Anthem, Inc.
Location: Cypress
Posted on: February 25, 2021

Job Description:

Welcome to the Anthem Careers site! We have been hard at work to improve our job search and application systems to better serve you. It is now easier to find and apply for relevant jobs as well as stay connected with Anthem. Here are a few of the updates you may notice:

  • No more profiles! We no longer require you to create a log in and password to apply for a job and you won't be able to access previously created profiles, but don't worry - we still have your previous application(s) on file and you can still track your status by clicking on the "Track Your Job Application Status" button.
  • Job Alerts - If you had previously registered to receive job alerts and wish to continue to receive these notifications, please re-register by clicking the "job alert" button.
  • NEW! Didn't find a job that is right for you? Join a Talent Network to stay informed on news and job opportunities with the Anthem Team! It is important that you apply using an email address which is unique to you and not shared with a friend, relative, spouse, or significant other. Our recruiting system uses your email address as your unique identifier. If you apply with a shared email address, your application will overwrite any previous applicant record with the same email address. Additionally, please ensure that you use a valid email address, free from typos, as there are a variety of communications which may be sent to the email address with which you apply Director Behavioral Health Programs & Services Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it's a powerful combination. It's 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. Location: Remote based The Director Behavioral Health Programs & Services is responsible for the clinical vision and implementation of new behavioral health direct care programs and services. Works in partnership with the Product and Strategy team to execute on the company's behavioral health clinical vision sets the stage for clinical design and implementation of a product strategy. Ensures that operational needs are met and ensures compliance with state/federal health plan requirements, Medicare guidelines and health plan requirements. The Director is responsible for the strategic planning and execution of all call center operations related to crisis call management. Core duties include management and leadership of processes for the continuous improvement of the customer experience, customer safety and quality clinical outcomes. Provides oversight and direction of the clinical referral line virtual call center operations. Responsible for ensuring timely response to calls and the delivery of quality and consistent clinical assessment and referrals, in accordance with clinical policies and procedures with a focus on the expert handling of calls from individuals experiencing a behavioral health crisis --Primary duties may include, but are not limited to:
    • Drives and assists in the design of strategic plans and management of enterprise-wide, large-scale clinical initiatives, pilots, and projects promoting quality care.
    • Directs and oversees innovation initiatives, data analysis activities, and evaluation strategies for the crisis stand-alone product
    • Maintains knowledge of innovative clinical best practices and applies creative solutions across different markets. Build alliances across the business and clinical leadership teams to ensure a collaborative, efficient and viable operating model.
    • Innovates and implements new or revised models for clinical strategy functions in response to evolving trends in healthcare delivery and/or emerging models of care.
    • Supports cost management projects through analysis of medical expense to determine savings for both proposed and implemented initiatives.
    • --Hires, trains, coaches, counsels, and evaluates performance of direct reports.
    • Involved in and understanding of regulatory and accreditation requirements to support NCQA/URAC accreditation and crisis specific contractual requirements
    • Provides oversight of call center to ensure quality, productivity and telephone standards are met
    • Ensures member inquiries are handled in accordance with performance standards
    • Ensures operational performance and budgetary targets are effectively monitored and achieved. Qualifications What you contribute?
      • Requires MS in a behavioral health field (i.e. social work, counseling); and 10 years of experience in behavioral health setting, either provider or payer; or any combination of education and experience, which would provide an equivalent background.
      • Current unrestricted Independent Clinical or Behavioral Health licensure required.
      • Crisis experience strong preferred. Applicable to Colorado Applicants Only Annual Salary Range*: $109,360--- $136,700 Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. * The salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions. Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem. EEO is the Law Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance. *WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the 'Rip-offs and Imposter Scams' option. Anthem requires a completed online application for consideration of employment for any position.

Keywords: Anthem, Inc., Cypress , Director Behavioral Health Programs & Services, Healthcare , Cypress, California

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