Centene Corporation is a Fortune 500, mission-driven healthcare leader committed to transforming the health of the communities we service, one person at a time.

Manager BH UM

ManagerManagerFull TimeRemoteCompany Site

Location

Texas

Posted

19 days ago

Salary

$87K - $161.3K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members • Manages BH utilization management issues related to member care and provider interactions • Reviews and analyzes BH utilization management activities • Develops, implements, and maintains compliance with BH utilization management policies and procedures • Educates and provides resources for BH utilization management team on key initiatives • Provides feedback to BH utilization management team to improve care for members

Job Requirements

Behavioral health clinical experience
Leadership or supervisory experience
Utilization review/Utilization Management background
Managed care experience
Knowledge of Medicare, Medicaid, and Marketplace products
License to practice independently

Benefits

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

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