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Director of Behavioral Health Operations
2 months ago
About the Role
CLevelCrossing is seeking an experienced Behavioral Health Strategy Leader to join our team. As a key member of our leadership team, you will be responsible for developing and executing a comprehensive behavioral health strategy that drives sustainable improvements in behavioral outcomes for our members.
Key Responsibilities
- Develop and execute an enterprise-wide behavioral health strategy that aligns with our company's purpose and goals.
- Establish key metrics of success for this strategy and measure progress against them.
Key Performance Indicators
- Ensure Humana members with behavioral health needs have access to appropriate and high-quality behavioral health care by optimizing network design, benefit design, care management, and referral pathways.
- Evolve enterprise approach to behavioral health outcome measurement to improve our ability to identify trends, highlight areas for improvement, establish tactics for advancing outcomes, and evaluate the impact of our strategic initiatives.
- Characterize the impactable drivers of poor outcomes and avoidable spending for members with behavioral health needs and identify and implement cost-effective strategies for impacting these outcomes that draw on existing enterprise capabilities.
- Support efforts to improve the efficiency of health plan operations (utilization management, claims payment, provider contracting) to reduce friction for members, providers, and associates.
- Explore, evaluate, and implement novel partnerships-with national and community-based organizations-that will expand Humana's ability to impact behavioral health outcomes.
- Support behavioral health innovation including increasing access to virtual and specialty care and advancing value-based payment models.
Requirements
- Extensive healthcare industry experience (typically 10 years) or related experience leading the development and implementation of complex strategic and/or operational initiatives.
- Understanding of the behavioral health ecosystem-including gaps and opportunities to improve the value and quality of care-especially for seniors.
- Leadership effectiveness and ability to design and implement constructive change within an organization and across multiple organizations.
- Bachelor's degree is required, although an advanced degree in a relevant field will be advantageous.
Preferred Qualifications
- Record of success leading diverse cross-functional teams to execute on complex projects within a matrixed organization, and moving them toward a common vision related to motivation, engagement, and goal attainment.
- Demonstrated analytic acumen, with the ability to leverage data to drive decision making and improve outcomes.
- Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences.
- Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs concurrently and win their co-ownership in the outcome.
- Current or recent experience in a large, highly matrixed company (i.e., Fortune 250), with proven ability to influence cross-functional teams, leaders, and key stakeholders in such an environment.
- Strong leadership skills, with proven success in expanding and elevating the capabilities and performance of the team.
- Deep understanding and experience with behavioral health strategy and operations in a managed care setting.
What We Offer
CLevelCrossing offers a competitive salary and benefits package, as well as opportunities for professional growth and development.
Language
This position requires fluency in English.
