Behavioral Program ManagerPosted: November 20, 2009
Behavioral Program Manager Category: Managed Care Plan: NJ-Horizon Blue Cross and Blue Shield of New Jersey Division: Healthcare Management City: Newark State: NJ Type: Full Time Description:Reporting to the Executive Medical Director, you will play an integral role in the establishment/implementation of comprehensive behavioral health medical policy, representation to internal/external customers, as well as in the development and clinical oversight of the organizations overall Behavioral Heath Program. Responsibilities will include: • providing strategy and goals to day-to-day department managers • ensuring client satisfaction and appropriate level of service delivery • developing/monitoring goals • monitoring behavioral health utilization • managing policy/procedure development • leading all quality and performance improvement initiatives • ensuring all regulatory requirements are met • acting as a clinical consultant to address behavioral health issues • developing/managing annual budgets • directing cross-functional strategic projects Qualifications:To qualify, you must have a Doctoral Degree in the Behavioral Health field, current licensure in Behavioral Health, 8+ years experience, and at least 5 years working in a senior management role that included developing and implementing a BH Program, along with the associated policy that goes along with the program. Knowledge of short/long-term corporate strategies, PC proficiency, demonstrated business success, and the ability to provide cost-effective healthcare will be expected, as will knowledge of HEDIS, CAHPS, NCQA, JCAHO and other standardized certifications and quality measures. Superior leadership, oral/written communication, presentation, interpersonal and project management skills are all essential. Req Code: 1000
Please refer to job code bluecross-20770 when responding to this ad.
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