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Anthem, Inc. Director Clinical BH Services in Jefferson City, Missouri

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Position: Director Clinical Services

Location: Remote, preferred in Florida

The Director Clinical BH Programs & Services is responsible for the clinical vision and implementation of new behavioral health direct care programs and services. The Director 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 through innovative programs, such as peer support services, intellectual & developmental disabilities (IDD), and substance use disorder (SUD); and ensures that operational needs are met and ensures compliance with state/federal health plan requirements, Medicare guidelines and health plan requirements. Primary duties may include, but are not limited to:

  • Drives and assists in the design of cost of care initiatives, 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 clinical programs including, but not limited to, pilot projects, grant-funded research projects, and publication endeavors.

  • 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.

  • Works to create evidence-based solutions for substance products and technologies. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

  • Education: Requires MS in a behavioral health field (i.e. social work, counseling) or nursing degree (RN)

  • Experience: Requires 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.

  • Licensure: Current unrestricted Independent Clinical or Behavioral Health licensure required

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.

REQNUMBER: PS42950

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