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　　The BH Program Manager is responsible for developing, maintaining, and servicing a high quality, marketable and satisfied care delivery network focused on behavioral health coordination of care, within an assigned geographic area. Key responsibilities include recruitment and contracting, education, and servicing of assigned providers. The BH Program Manager helps assigned behavioral health and primary care providers operate successfully within our behavioral and medical healthcare delivery model by providing strategic planning and tools to meet organizational goals. This position is expected to build and sustain solid working relationships with cross-functional departments, facilities and assigned providers. The BH Program Manager is accountable for overall performance and profitability for their assigned behavioral health and primary care groups, as well as ownership and oversight to provide redirection related to behavioral and medical integration.

　　Primary Responsibilities:

　　Conduct visits with behavioral health and primary care providers to promote behavioral health coding accuracy, care planning and compliance with applicable regulatory guidelines (e.g., CMS; HEDIS/STARS Quality Measures)

　　Ensure behavioral health and primary care providers have in-depth understanding of Optum Mountain West Region care delivery models including clinical and business

　　Conduct detailed analysis of behavioral health and primary care provider performance to ensure performance goals are achieved

　　Maintain open communication with behavioral health and primary care providers to include issue resolution on health plan issues related to credentialing, claims, eligibility, care management, utilization management, quality, and risk adjustment programs

　　Analyze network availability and access

　　Other duties as assigned

　　You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

　　Required Qualifications:

　　5+ years working with a managed care organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services, etc.

　　Proficiency with Microsoft Office

　　Access to reliable transportation and ability to travel up to 50% within assigned geographic area

　　Preferred Qualifications:

　　Expertise in physician/facility/ancillary contract reimbursement methodologies

　　Established knowledge of local behavioral health provider community

　　At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission .

　　Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law .

　　OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.