• Job Description

  Req#: 43878
  Employer Industry: Healthcare Solutions
  
  Why consider this job opportunity:
  - Competitive pay with flexible work solutions including remote options
  - Paid time off, including holidays and opportunities for volunteer events
  - Health insurance coverage for you and your dependents starting on Day 1
  - 401(k) plan with employer contribution
  - Tuition reimbursement and support for professional development
  - Opportunity to impact the lives of millions through quality care initiatives
  
  What to Expect (Job Responsibilities):
  - Oversee follow-up service activities and suggest quality interventions related to NCQA and other programs
  - Act as a quality clinical liaison to the community and oversight agencies, recommending policy and procedural changes
  - Provide psychiatric clinical services expertise to improve member outcomes
  - Ensure integration of care and effective resource utilization through collaboration with stakeholders
  - Review documentation and engage in discussions with providers and members to enhance the service delivery system
  
  What is Required (Qualifications):
  - Bachelor's Degree required; Master's Degree preferred
  - Minimum of 5 years of experience in Behavioral Health
  - Strong communication skills with the ability to articulate effectively to diverse audiences
  - Advanced knowledge of mental health and substance abuse treatment services
  - Understanding of managed care policies and procedures, specifically related to the Pennsylvania Medicaid Program
  
  How to Stand Out (Preferred Qualifications):
  - Experience working with external agencies and treatment providers for coordination of care
  - Familiarity with NCQA standards and quality improvement initiatives
  - Background in integrated managed care products and services
  - Knowledge of behavioral health service delivery systems
  
  #Healthcare #ProjectManagement #BehavioralHealth #QualityImprovement #RemoteWork
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
  We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

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