Executive Behavioral Health Director - Remote

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

United Healthcare is seeking a dynamic and experienced Senior Director of Employee Assistance Program (EAP) and Behavioral Health Clinical Operations to join our team in Las Vegas NV. This senior leadership role is critical to the success of our organization and will be focused on our behavioral clinical operations working closely with the behavioral CMO on a whole-person care across physical and mental health.

The role involves overseeing the governance of our provider/vendor behavioral network, developing and implementing Employee Assistance Program (EAP) strategies, growth strategies for behavioral products, management of virtual/onsite clinicians, monitoring outcomes of our Utilization Management (UM) and Case Management (CM) programs in collaboration with behavioral health CMO.

This role manages a team of 4 direct reports (CM manager, EAP Assc Director, UM Assc Director and Clinical Quality Manager) with over 30 employees that encompasses aspects of behavioral clinical and quality operations for all HPN/SHL FI, IFP, and Medicaid.

The ideal candidate will bring strategic vision, financial acumen, solid leadership skills, experience in working in a matrixed structure and managing a high-performing team.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Governance of provider/vendor agreements for clinical team:
• Liaison with contracted providers/vendors to ensure compliance with all contractual obligations, access requirements and clinical/quality metrics
• Engages with network team to address network adequacy and access requirements are achieved
• Reviews cost trends for commercial and Medicaid behavioral and implements affordability initiatives to address any outliers
• Establishes and maintains a solid relationship with key vendors/providers working closely with the network and provider service teams
• Develops and monitors key performance indicators for vendor performance, implementing corrective actions as necessary to meet organizational goals

Employee Assistance Program (EAP) management and oversight:
• Oversee the strategic planning, development and execution of the Employee Assistance Program offering for the Nevada health plan
• Engage with large clients to promote EAP services and ensure program offerings are competitive
• Monitor the financial performance of EAP offering and put forth annual business plan
• Maintain competitive intelligence for market and organize education for sales/account teams
• Evaluate the effectiveness of EAP services, making data-driven recommendations for improvements and enhancements

Virtual/onsite clinician management:
• Oversee the establishment, operational management, and strategic planning of any new access points for behavioral, ensuring they meet all regulatory requirements and appropriate increase access to care for the target population
• Develop and implement strategic initiatives for behavioral based product offerings to support the health plans for Medicaid, commercial and individual exchange
• Monitor clinic performance metrics, patient satisfaction, and operational efficiency, implementing improvements as needed

Data analytics for behavioral health clinical performance:
• Liaison with a team for data analysts to provide actionable insights that support decision-making and strategic planning
• Utilizes advanced data analytics to identify trends, opportunities, and areas for improvement
• Develops and implements data-driven strategies to enhance operational efficiency, reduce costs, and improve financial performance

Oversight of UM and CM programs for behavioral health:
• Provides strategic oversight and direction for Utilization Management and Case Management functions, ensuring they align with organizational goals and regulatory requirements
• Works across physical and mental health teams to ensure processes are in place to achieve a whole person care approach
• Collaborates with internal and external stakeholders to implement strategies to improve UM/CM performance
• Tracks service trends and initiates updates/changes to address with teams

Leadership and Team Management:
• Develop a high-performing team of professionals, fostering a collaborative and positive work environment that encourages innovation and excellence
• Set clear performance goals, conduct regular evaluations, and provide ongoing feedback and support to team members to ensure they meet or exceed expectations
• Promote a culture of continuous improvement, professional development, and accountability within the team

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
• Independently licensed Master's degree level clinician in: Psychology, Social Work, Counseling or Marriage & Family Counseling; OR Licensed Ph.D. or Licensed PsyD; OR an RN
• Licensure must be current and unrestricted in the State of Nevada
• 2+ years of experience working within a Managed Care Organization (MCO)
• 2+ years of administrative management experience
• 1+ years of behavioral health clinical experience in a behavioral health setting
• Knowledge of interqual
• Knowledge of MCG and ASAM and/or LOCUS, CASII, ECSII
• Proven ability to effectively plan, assign, direct and evaluate the performance of direct reports
• Proven excellent verbal, written, and interpersonal communication skills
• Proven ability to come to market as needed
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $150,200 to $288,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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