Manager, Behavioral Health
CurrentAnalyze membership, enrollment and utilization data to identify populations within membership that would benefit from focused behavioral case management and medical management programs. Assist to determine benchmarks, goals and outcomes for al programs as well as high cost, volume and risk conditions. Develop, review and update all case management and medical processes such as policies, procedures and work flows. Ensure compliance with all regulatory standards, and responsible for regular… Show more Analyze membership, enrollment and utilization data to identify populations within membership that would benefit from focused behavioral case management and medical management programs. Assist to determine benchmarks, goals and outcomes for al programs as well as high cost, volume and risk conditions. Develop, review and update all case management and medical processes such as policies, procedures and work flows. Ensure compliance with all regulatory standards, and responsible for regular reporting of all behavior health case management and medical management requirements. Show less