Behavioral Health Strategy Lead

Humana; Clemson (SC); Remote; USD 115,000 - 159,000; Full time

Job summary

Join a leading healthcare organization as a Behavioral Health Strategy Lead in South Carolina. This strategic role focuses on improving behavioral health outcomes for Medicaid members, requiring collaboration with healthcare leaders and stakeholders and strong analytical skills. Ideal candidates will have significant experience and a relevant professional license.

Benefits

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off

Short-term and long-term disability

Qualifications

• Active LCSW, LPC, or equivalent license required.
• Over 5 years of experience in behavioral health.
• 2 years in leadership managing operations.

Responsibilities

• Develop and refine behavioral health programs aligned with regulations.
• Analyze data for program innovations and improvements.
• Foster partnerships with healthcare providers to enhance behavioral health.

Skills

Analytical skills

Communication

Collaboration

Education

Licensed Behavioral Health Professional in South Carolina

Job description

Become a part of our caring community and help us put health first

The Behavioral Health Strategy Lead builds behavioral health strategies within the enterprise, business or segment to develop best practices and processes to improve outcomes for members. The Behavioral Health Strategy Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Become a part of our caring community and help us put health first

The Behavioral Health Strategy Lead builds behavioral health strategies within the enterprise, business or segment to develop best practices and processes to improve outcomes for members. The Behavioral Health Strategy Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

This position requires residence in South Carolina

Position Overview: The Behavioral Health Strategy Lead is a strategic contributor responsible for the development and refinement of behavioral health programs tailored to the needs of Medicaid plan members in South Carolina. This role involves a deep understanding of quality measures and principles of behavioral health, as well as engaging with providers and stakeholders to advocate for key policies that enhance the delivery of integrated care. The lead will collaborate closely with the Health Services Director, Chief Medical Officer, and various stakeholders to develop innovative products and services within Humana's Medicaid BH delivery model.

Key Responsibilities:

• Develop, implement, and refine behavioral health programs that meet the diverse needs of populations served, ensuring alignment with evidence-based practices and compliance with local and federal regulations.

• Analyze data and trends in behavioral health services to identify opportunities for program innovation and improvement.

• Understand and apply quality measures specific to behavioral health, utilizing them to inform program development and enhance outcomes for plan members.

• Collaborate with the Medical Director and Clinical Leaders to implement population health strategies that improve care delivery and member outcomes.

• Foster partnerships with healthcare providers, community organizations, and policymakers to promote a comprehensive approach to behavioral health.

• Serve as a subject matter expert on behavioral health policies, advocating for changes that support the integration of mental health and substance use disorder services within the healthcare system.

• Engage in advocacy efforts to reduce stigma around mental health issues and promote awareness of available services.

• Utilize data analytics to monitor program effectiveness, prepare reports, and communicate outcomes to leadership and stakeholders.

Use your skills to make an impact

Required Qualifications:

• Must reside in South Carolina

• An active and unrestricted Licensed Behavioral Health Professional in South Carolina, such as:

  • Licensed Clinical Social Worker (LCSW)

  • Licensed Professional Counselor (LPC)

  • Licensed Marriage and Family Therapist (LMFT)

  • Psychiatric Nurse Practitioner (PMHNP-BC)

  • Qualified Mental Health Professional (QMHP)

  • Clinical Psychologist or Psychiatrist

  • Other clinical license in behavioral health

• Minimum of five, (5) years of behavioral health practitioner experience

• Minimum of two, (2) years in a leadership role managing behavioral healthcare operations.

• Knowledge of the managed care industry and Medicaid, with familiarity in South Carolina-based behavioral health organizations.

• Proven ability to engage and collaborate with healthcare providers and community stakeholders.

• Excellent analytical and communication skills, with experience in data reporting and program evaluation.

Preferred Qualifications:

• Experience in Medicaid Managed Care clinical or behavioral health leadership which will include hiring, training, coaching and up to termination.

• Familiarity with accreditation standards and contract requirements.

Additional Information

Workstyle: remote work at home

Location: Columbia, South Carolina

Schedule: 8:00 AM to 5:00 PM Eastern Monday through Friday

Travel: Less than 25%

Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Application Process: Interested candidates are encouraged to apply by submitting their resume and cover letter detailing their qualifications and experience related to the responsibilities outlined above.

SSN Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the information into your official application on Humana’s secure website.

Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$115,200 - $158,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

About the company

Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at [e-mail] or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at [e-mail] or 407-000-0000.