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Anthem, Inc. Clinical Programs Director in San Antonio, Texas

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Location: Remote

Work Hours: Mon – Friday; 8:00 AM – 5:00 PM

The Clinical Programs Director responsible for providing consultative support to crisis product customers. Will serve as the external facing front line point of contact for the crisis customer.

Primary duties include, but are not limited to:

  • Provides support to the sales process in presentation of these programs and advises accounts on programmatic changes needed based on data collected.

  • Develops relationships with regional care management groups and works with them to improve operational interfaces.

  • Serves as a subject matter expert and trainer on care management operational issues.

  • Involved in and understanding of regulatory and accreditation requirements to support NCQA/URAC accreditation and crisis specific contractual requirements

  • Working collaboratively with each crisis customer in a contract management role

  • Working with the provider network and community stakeholders to ensure a smooth referral process post crisis call

  • Working closely with community stakeholders to develop a strong safety net for those in crisis in each community we serve

  • Ensuring the contact center is operated in line with national suicide prevention lifeline standards and those of relevant crisis accrediting bodies as required by specific crisis contracts

Qualifications

Requires:

  • Requires a BS in nursing or other related clinical area, Master's degree preferred; 6 years of related experience including program development, and clinical practice; or any combination of education and experience, which would provide an equivalent background.

  • Licensures: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/LMSW, MHC, LPC, etc.).

  • 5 years management experience in healthcare, experience in a clinically managed contact center taking crisis calls required

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS45755

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