The Company is seeking a Vice President of Clinical Operations for Behavioral Health. The successful candidate will be responsible for overseeing and directing all clinical operations, with a focus on care management, coordination, and utilization management. This role involves establishing the business unit's clinical strategic vision, objectives, and policies to ensure the delivery of cost-effective and clinically appropriate services. The VP will also monitor performance against established metrics, serve as a subject matter expert in new implementations, and collaborate with various departments to resolve provider claims issues. Candidates for this position must have a Master's degree in a relevant field or an RN license, with at least 8 years' of clinical and operations experience in the behavioral health industry. Previous management experience is essential, including responsibilities for staff hiring, training, and performance management. The role requires an unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD, or RN. The VP will be expected to drive efforts to increase staff expertise and develop training programs, as well as ensure that effective care is delivered to members while meeting utilization management goals. The position also involves overseeing the annual budget for clinical operations and participating in various meetings with customers, health plans, and quality improvement teams.

Hiring Company

Centene Corporation