You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:**
Ensure that the behavioral health operations are in compliance with the terms of the contract with the State
+ Oversee all interaction with EOHHS and activities and communications and ensure that EOHHS is informed of all events and circumstances that materially affect delivery of behavioral health services
+ Delegate and participate in all quality management and improvement activities, including participating in key State stakeholder committees
+ Oversee all MCO functional areas, including quality management, utilization management, network development and management, provider relations, member outreach and education, member services, contract compliance, and reporting
+ Develop and maintain the behavioral health network and ensure that it is fully integrated with the physical health provider network
+ Identify and address potential behavioral health under- or over-utilization
+ Oversee all behavioral health community resources, including Community Mental Health Centers (CMHCs)
+ Report all MCOs provisions of behavioral health services
+ Oversee subcontracts related to behavioral health services
+ Performs other duties as assigned
+ Complies with all policies and standards
**Must reside in the state of Kansas**
**Education/Experience:**
Bachelor's degree in Social services, Psychology, Health Administration, or related field. Masters degree in a behavioral health specialty preferred. 7+ years of behavioral health experience and working knowledge of Medicare, Medicaid and health plan administration. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
**For Sunflower Health Plan:**
Licensed Psychologist (LP), Licensed Clinical Social Worker (LCSW), Licensed Specialist Clinical Social Worker (LSCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor? (LMHC), Registered Nurse (RN), or Advanced Practice Registered Nurse (APRN) required.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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