Lumeris Clinical Transformation Manager - Behavioral Health in St. Louis, Missouri
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Clinical Transformation Manager - Behavioral Health
The Clinical Transformation Manager will serve as a client facing clinical subject matter expert and will play a key role in the evaluation, analysis, design, and deployment of new and existing clinical programs to support the execution of our value-based clinical model across a variety of client engagements. The Clinical Transformation Manager will work cross-functionally with several teams, including sales, advisory solutions, analytics, and clinical operations.
Role and Responsibility:
Act as a client facing clinical subject matter expert and a clinical point of contact
Support clinical assessment of client’s current state and identify high-value opportunities and needs for operational success in a value-based model of care
Assist in determining client strategy based on client specific information
Participate in multiple client engagements in parallel and determine courses of action in complex and undefined situations that may not be addressed by existing policies, procedures, or protocols
Collaborate with multiple departments within Lumeris relating to innovation, quality and process improvement to drive best practice and knowledge sharing
Help define analytics needs and key performance indicators to measure outcomes and success of care delivery programs
Build credibility and maintain strong professional relationships with client and internal stakeholders through regular contact during course of engagement
Help define the primary care centric behavioral health care delivery program
Experience, Qualifications and Education:
Master’s degree or higher in nursing, counseling, psychology or social work.
Must be an APRN, LMSW, LCSW, LPA, or LPC whom graduated from an accredited school with an active licensure in good standing.
Case Management Certification (CCM) preferred but not required
5 to 7 years of experience in the behavioral healthcare space required
Experience with Accountable Care Organizations, Medicaid, Medicare and Commercial populations
Experience in consulting, services or population health organizations with a proven ability to manage partner relationships and achieve change within another organization from assessment through implementation
Knowledge of value-based care models, pharmacy management, quality management, case management and other care delivery programs
Ability to translate complex clinical and operational concepts into a cohesive, visual story
Ability to rapidly learn and adapt to ambiguous environments and clientele with quickly changing priorities and timelines
Strong history of quickly building relationships, gaining credibility, influencing and partnering with business and clinical leaders and peers across the organization
Ability to partner with multiple constituents, manage in a matrix relationship environment, strengthen and deliver on our agenda, and drive positive change in a high performance settings
Excellent presentation and facilitation skills in both large and small scale settings
Experience with policy, procedure and clinical content development, especially in the behavioral health space
Excellent written and verbal communication skills and the ability to communicate/collaborate effectively with all levels of employees, management, executives, providers, and external organizations
Willingness to travel up to 50%
Lumeris is an EEO/AA employer M/F/V/D.
St. Louis, MO
XL - FT
Join Our Growing Team!
Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs). Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care.
Over the past seven years, we have tripled in size to more than 800 employees and built the only solution on the market with our proven outcomes. For the past six years, Essence Healthcare, a long-standing Lumeris client, has received 4.5 Stars or higher from the Centers for Medicare and Medicaid Services (CMS). Essence Healthcare was Lumeris’ pioneer client and has been leveraging Lumeris for more than a decade to operate its Medicare Advantage plans, which serve more than 60,000 Medicare beneficiaries in various counties throughout Missouri and southern Illinois.
In 2018, Lumeris was named Best in KLAS for Value-Based Care Managed Services in the area of client-reported impact on the Triple Aim by KLAS Research. This was the third year in a row Lumeris received the award, and it has only been given for three years. As the industry’s most reliable and effective partner for developing population health management solutions, our success is driving tremendous growth in our company. Join us today in making a real difference in how healthcare is delivered!
Why Join Lumeris?
At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.