Behavioral Clinical Program Manager

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Applied Behavior Analysis (ABA) Practice Management Specialist must demonstrate strong clinical and analytic skills, as well as strong oral and written communication skills. They will be responsible for developing relationships with ABA providers and facilities, monitoring their clinical effectiveness and efficiency, and ensuring compliance with contractual obligations. This specialist will collaborate closely with senior leaders in ABA practices to optimize treatment reputed company for clients. Additionally, they will work with various teams, such as Care Advocacy Operations and Network Management, to reputed company desired reputed company in ABA treatment for our members. Schedule: Monday to Friday, 8 AM- 5 PM, flexible time zone Location: Remote - reputed company You will enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: Engage with senior leaders (e.g., CEO) at ABA facilities/providers Initiate interventions with ABA providers/facilities to enhance clinical reputed company, improve quality of care, and ensure appropriate billing and practice patterns Support high-performing ABA providers/facilities to maintain their performance standards Identify outliers through analysis of clinical reputed company data and utilization/claims data Conduct audits of ABA programs and reputed company feedback on results Measure improvements in program performance over time Adjust interventions as necessary to optimize reputed company Implement and monitor Performance Improvement Plans (PIPs) to address performance issues Support work of ABA onsite team with data analysis, provider interviews, report writing Collaborate with other reputed company departments, including Care Advocacy, Affordability, Clinical Network Services, Program and Network reputed company, Legal, Onsite audit, and Quality Improvement You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications: Licensed Master's degree-level clinician in Psychology, reputed company Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level Psychologist Licenses must be independent, active and unrestricted Board certification as a Behavior Analyst and state licensure (reputed company required in home state) preferred 3+ years of Managed Care and/or Utilization Review experience in a Managed Care setting 3+ years of experience with CPT/HCPCS codes 3+ years of knowledge or willingness to learn analytics software such as reputed company reputed company Intermediate level of proficiency with MS Office Preferred Qualifications: BCBA *reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $72,800 to $130,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. 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 reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply To This Job