Behavioral Health Clinical Liaison

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Job Summary: Serve as a liaison between external groups and providers regarding clinical information from the Operations and Medical Management teams.

Key Responsibilities: ? Interpret and present program results, develop data-driven analysis, and metrics to measure effectiveness and ROI of current and new programs. ? Partner with staff and departments on provider education and outreach; identify gaps and develop education efforts. ? Collaborate with regional leadership for providers requiring clinical interpretation of results related to health plan reporting, data, and quality incentive payments; facilitate discussions and make recommendations. ? Implement procedures for tracking operational issues, including issues between the provider network, community, and facility; make recommendations to solve. ? Represent the clinical team in various meetings. ? Identify internal and external opportunities to improve quality and satisfaction; initiate process changes. ? Serve as a resource and liaison on utilization, quality improvement, and case management activities. ? Perform Behavioral Health provider audits and technical assistance activities for NH Health Plan Only; track and monitor outcomes and opportunities for improvement. ? Perform other duties as assigned.

Requirements: ? Master's in Social Work or Behavioral Health. ? 5+ years of experience in managed care, utilization management, case management, or quality improvement. ? LPC, LCSW, LMHC, or LMFT licensure (Behavioral Health only).

Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements.

Apply Job!