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Home Healthcare Services VP-Clinical-Operations-OptumHealth-Behavioral-Solutions-Atlanta-GA


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 VP, Clinical Operations, OptumHealth Behavioral Solutions- Atlanta, GA

Details
Country: USA
Location: Georgia-Atlanta atlanta, GA
Total applied: 18
VP, Clinical Operations, OptumHealth Behavioral Solutions- Atlanta, GA

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.United Behavioral Health, a UnitedHealth Group company, is a leading provider of emotional wellness services. Currently serving over 22 million Americans, our innovative solutions include behavioral health, employee assistance, work/life and pharmacy management services, as well as a unique disability support program. We offer specialized, confidential support to help our members live and work well, and excellent resources and rewards for your career so you can do the same. A healthy business awaits you at UBH. The VP, Clinical Operations is responsible for overall management of clinical services delivered at the Care Advocacy Center (CAC).  Specific areas of accountability include overall clinical service delivery; utilization management; clinical quality; compliance with regulatory, accreditation, corporate and customer requirements; staff productivity, retention and development.  Responsible for adhering to quality of care and best practice guidelines, ethical standards and protocols, corporate standards and clinical outcomes for the CAC membership.  Works well as part of a multi-disciplinary team within a matrix organization.  Collaborates on developing and managing care to established targets.  Uses data to develop targeted interventions in response to quality and care management issues.  Collaborates effectively with shared services to achieve clinical, utilization management and other CAC goals.  Leads Care Advocacy teams to ensure focus on: Improving clinical quality, access to care and evidence-based practice Keeping healthcare affordable through innovation, technology and continuous quality improvement Collaborating with customers to provide unique and integrated products Engaging consumers in their quest to live healthier lives Delivering services that support the principles of fairness, integrity and human dignity Uses data to monitor results and develop targeted interventions in response to quality and care management issues Ensures clinical operations compliance with regulatory, accreditation, corporate and customer requirements Hires, manages and retains effective leaders to ensure a focused, results-oriented team approach to care advocacy.  Provides direction, development and coaching of direct reports as well as care advocacy teams. Facilitates a positive culture that supports corporate goals, promotes individual and team initiative and fosters open communication through all levels of the organization. Supports product development, sales and account management, as needed, by representing clinical operations on behalf of the CAC At least 5 years experience in a senior management position in a managed behavioral healthcare organization (MBHO) with direct responsibility for utilization management.  Must have a proven track record of working with self-insured and risk-based products, regional health plans, national direct customers, and other large, complex customers Demonstrated success in human resource management, including hiring, leading, training and motivating care advocate teams with a continuous quality improvement (CQI) focus Excellent verbal and written communication skills with demonstrated ability to develop strong and influential relationships with internal, external and potential customers Strong clinical background that includes utilization management, data analysis and trending, and complex problem-solving with a record of achieving established goals. Licensed Ph.D. is desirable Post-graduate degree in behavioral health requiredDiversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment.

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