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Behavioral Clinical Program Manager | Eden Prairie, Minnesota | Remote

$72.8k - $130k

divvyDOSE

Applied Behavior Analysis (ABA) Practice Management SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes 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 make 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 outcomes for clients. Additionally, they will work with various teams, such as Care Advocacy Operations and Network Management, to achieve desired outcomes in ABA treatment for our members.Schedule: Monday to Friday, 8 AM- 5 PM, flexible time zoneLocation: Remote - NationwideYou will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Engage with senior leaders (e.g., CEO) at ABA facilities/providersInitiate interventions with ABA providers/facilities to enhance clinical outcomes, improve quality of care, and ensure appropriate billing and practice patternsSupport high-performing ABA providers/facilities to maintain their performance standardsIdentify outliers through analysis of clinical outcomes data and utilization/claims dataConduct audits of ABA programs and provide feedback on resultsMeasure improvements in program performance over timeAdjust interventions as necessary to optimize outcomesImplement and monitor Performance Improvement Plans (PIPs) to address performance issuesSupport work of ABA onsite team with data analysis, provider interviews, report writingCollaborate with other Optum departments, including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, Legal, Onsite audit, and Quality ImprovementYou'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 provide development for other roles you may be interested in.Required Qualifications:Licensed Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level PsychologistLicenses must be independent, active and unrestrictedBoard certification as a Behavior Analyst and state licensure (when required in home state) (BCBA)3+ years of Managed Care and/or Utilization Review experience in a Managed Care setting3+ years of experience with CPT/HCPCS codesIntermediate level of proficiency with MS OfficePreferred Qualifications:3+ years of knowledge or willingness to learn analytics software such as Microsoft Excel*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.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.

Vacancy posted 2 days ago
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