Optum 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Our Product Development and Management groups are vital to our success and are leaders in driving the future growth of UnitedHealth Group. Success in these careers relies on many factors - your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone.
If you are located within a commutable distance of 10 Plaza in NYC, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Lead children's behavioral health strategy for children (U21) and foster care populations, focusing on improved outcomes, reduced avoidable ER/inpatient utilization, high-cost member management, and stronger care coordination
- Serve as liaison with NYS child-serving and regulatory agencies, including OMH, DOH, OCFS, OPWDD, and OASAS
- Monitor children's services trends through cross-functional forums and convert findings into targeted interventions, including suicide prevention, care transitions, First Episode Psychosis follow-up, TAY, and foster care discharge planning
- Provide matrixed clinical leadership and subject matter expertise to Behavioral Health Care Management, Utilization Management, Health Home transformation, and Foster Care Liaison functions
- Partner with U21 Case Management and UM leaders on high-utilizer/high-spend members, case consultations, rounds, quality improvement, workforce development, and training needs
- Support state initiative implementations and Medicaid Managed Care carve-ins affecting children's services, including foster care, ABA, and CHP
- Coordinate foster care operations across medical, dental, pharmacy, vision, DME, network, and claims teams; review monthly IP, VFCA claims, pharmacy, medical, and dental reports to identify quality and trend opportunities
- Set team direction, resolve operational barriers, and adapt departmental priorities to meet business, regulatory, and stakeholder needs
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- NYS Licensed Behavioral Health Professional
- 7+ years of a BH Managed Care setting or BH clinical setting including 2+ years of Managed Care experience. 5+ years of experience working with children
- Experience in providing and/or supervising direct care to children and adolescents, as well as foster care
- Supervisory Experience with an ability to function within a matrixed organization with shared supervisory experience
- Knowledge of state regulatory organizations
- Understanding of various levels of care within NYS addiction and mental health services including knowledge of NYS child servicing systems
- Svailable during NYS business hours, 8am to 5pm Eastern as well as for urgent/emergent needs
Preferred Qualifications:
- Experience in children's behavioral health, residential treatment, or comparable child-serving systems of care
- Work experience with the State and other key partners
- Proven organizational skills with ability to be flexible and work with ambiguity
*All employees working remotely 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 $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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 experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.