Behavioral Health Operations Manager
3 weeks ago
Amida Care, a leading Medicaid HIV Special Needs Plan in NY, is seeking a highly motivated and experienced leader to join our team as the Manager of Behavioral Health Operations.
About Amida CareWe deliver a uniquely effective care model that has become a true benchmark for innovation, engagement, and member health outcomes. Our mission is to provide access to comprehensive care and coordinated services that facilitate positive health outcomes and general well-being for our members.
Job SummaryThis position supports the Integrated Care and Behavioral Health area of health services through oversight and organization of administrative efforts, including vendor relations, tracking, and management of implementation of new benefits. The successful candidate will serve as a key point of contact for assigned regulatory-related activities and collaborate with Amida Care's Director of Vendor Performance to ensure oversight activities are completed and documented.
Key Responsibilities- Serve as behavioral health lead for the management of coordination and implementation of Care Management System.
- Department point person for our Behavioral Health Vendor for tracking, coordination, and implementation purposes.
- Collaborate with Amida Care's Director of Vendor Performance to ensure oversight activities are completed and documented.
- Develop and update departmental workflows and related training materials.
- Provide staff training as needed.
- Serve as departmental lead to collaborate on compliance/regulatory and quality presentations and responses to queries, deficiencies, and other items that impact regulatory compliance.
- Perform appropriate follow-up and tracking to ensure that deficiencies are rectified and necessary changes are implemented.
- Provide support and/or coordination for various audits and/or plans of correction in conjunction with appropriate vendors, internal departments, providers, and other entities as needed.
- Attend and represent Amida Care at various State meetings related to Behavioral Health and departmental initiatives.
- Document meeting notes, disseminate information to appropriate parties, and coordinate implementation of changes/updates in conjunction with other departmental and organizational leadership.
- Lead process of behavioral health benefits management by coordinating with appropriate staff and related/impacted vendors around benefit administration.
- Update and review Amida Care Benefit Guide/Grid related to Behavioral Health or other benefits under the area's purview in a timely manner.
- Bachelor's degree in business, healthcare, project management, or a similar field or an equivalent combination of education and related experience.
- Three (3) years' working in a health-related project management capacity and one year's experience supervising professional staff in an office environment.
- Three (3) years' working as an employee of a NY Medicaid managed care organization required with experience with behavioral health and children's services. Knowledge of parity preferred.
- Strong computer competency (MS Office applications) as well as experience with project management software is required as is an excellent attention to detail.
- Cultural humility and demonstrate understanding and sensitivity to multi-cultural values, beliefs, and attitudes of both internal and external contacts.
Amida Care is a Diversity, Equity, and Inclusion employer committed to full inclusion and elimination of discrimination in all its forms. We strive to develop, promote, and sustain a culture that values equity and leverages diversity and inclusiveness in all that we do.
Minimum Salary: 74,462.00 Maximum Salary: 94,328.00 Salary Unit: Yearly
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