Behavioral Health Liaison

6 days ago


Carson City, Nevada, United States Centene Corporation Full time
Job Summary

Centene Corporation is seeking a highly skilled Clinical Liaison to join our Medical Management/Health Services team. As a clinical professional, you will play a critical role in serving as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams.

Key Responsibilities
  • Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs
  • Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts
  • Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations
  • Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve
  • Act as the clinical representative in various meetings
  • Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction
  • Serve as resource and liaison on utilization, quality improvement and case management activities
  • Performs other duties as assigned
  • Complies with all policies and standards
Requirements
  • Master's in Social Work / Behavioral health. 5+ years of experience in managed care, utilization management, case management, or quality improvement
  • LPC, LCSW, LMHC or LMFT
What We Offer
  • Competitive pay: $67,121,300.00 per year
  • Comprehensive benefits package including: health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules

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