Providence is calling a Senior Director of Behavioral Health to Providence Murray Business Center in Beaverton, OR.
We are seeking for a Senior Director of Behavioral Health who will be responsible for leading and managing the Health Plans Behavioral Health programs offered through Providence Health Plan. The Behavioral Health program responsibilities are broad ranging and include care management, utilization management, quality, and shared responsibility for behavioral health claims administration, customer service and network management .The Senior Director is responsible for assessing overall program performance and initiating process improvements to ensure the program and network are of high quality, and deliver timely access to care, including crisis support services. In addition to leading the behavioral health programs, this position is a key partner in PHP's strategic plan to integrate medical and behavioral health, and will collaborative with PHP leadership and PH&S leadership to define program components and assess resources needed to implement innovative models of care. The Senior Director of Behavioral Health is responsible for developing relationships with key leaders within Providence Ministries and Behavioral Health, and actively develop partnerships within the communities we serve.
In this position you will:
Lead the development of a co-sourced care model to improve the delivery of behavioral health care; improve behavioral health quality of care and access, and be financially sustainable.
Ensure behavioral health vendor performance meets service levels, key performance indicators, and regulatory compliance. Manage the vendor contracts for delegation.
Provide leadership in support of quality improvement: Medicare 5 Star, CCO, HEDIS and NCQA.
Develop, implement and evaluate performance metrics for behavioral health, new initiatives and services created.
Establish effective direct and matrix reporting relationships both internally with Behavioral Health and within other Providence ministries.
Assess need for new programs and services such as telehealth strategies.
Actively identify opportunities to improve processes and utilize technology to reduce cost, improve productivity, and increase service.
Continually build and foster strong cross-functional partnerships with operation teams, vendors and provider networks.
Required qualifications for this position include:
Masters degree in the behavioral health field of study, or health care administration, and a clinical behavioral health license.
Minimum seven to ten years of senior level management experience in health care, preferably leading, organizing and managing major clinical programs.
Experience in team facilitation, project management, and change management.
Demonstrated experience with physician relationships in a leadership position.
Experience in contracting, mediation and performance measurement.
Experience with clinical data, database management, data analysis and reporting.
Preferred qualifications for this position include:
Health Plan experience.
Providence Health Plans (PHP) is the parent organization of Providence Health Plan, Providence Preferred PPO and Providence MCO. Providence Health Plans provides insurance coverage to more than 420,000 enrollees throughout Oregon, Washington and Alaska. The Plan operates principally throughout Oregon and southwest Washington, serves commercial employers and Medicare and Medicaid eligible, and acts as the third-party administrator for various employer groups across the Pacific Northwest. The plan contracts with more than 15,000 providers throughout the region. In addition, PHP provides a network PPO plan that contracts with many large national insurers such as CIGNA and Aetna and serves another 325,000 enrollees. The plan serves an additional 360,000 workers through its managed workers compensation program called Providence MCO.
About Providence St. Joseph Health
Providence St. Joseph Health was established on July 1, 2016, creating the second largest Catholic health system and fourth largest non-profit integrated delivery system in the country, which provides a broad range of health and outreach services throughout the western United States. With total revenues exceeding $20 billion in fiscal year 2015, the health system family includes 50 acute care hospitals as well as home health agencies, hospice care, outpatient services, skilled nursing facilities, insurance plans and physician organizations. Providence St. Joseph Health includes more than 100,000 caregivers, 829 outpatient clinics, 23,000 physicians, across seven states. The system has 1.9 million covered lives.
The Providence St. Joseph Health family includes:
Providence Health & Services
St. Joseph Health
Covenant Health in West Texas
Facey Medical Foundation in Los Angeles
Hoag Memorial Presbyterian in Orange County, California.
Kadlec in Southeast Washington
Pacific Medical Centers in Seattle
Swedish Health Services in Seattle
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.