Remote Behavioral Health Liaison — Data & Quality Advocate

Centene Corporation; Clayton (MO); Remote; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible remote/hybrid/field/office

Job summary

Centene Corporation is seeking a Behavioral Health Liaison to serve as a clinical information conduit between Operations and Medical Management teams. The role reviews member behavioral health records, coordinates with external providers, and drives data‑driven program analysis from a remote Missouri residence.

The candidate must hold an appropriate license (LCSW/LMHC/LPC/LMFT/LMHP or psychologist) and have 4+ years of outpatient behavioral health experience in community settings or practice.

Qualifications

• Master's degree in Social Work or Behavioral Health required.
• 4+ years of experience providing behavioral health outpatient care in a community setting or independent practice required.
• Experience with assessment of treatment plans related to mental health and substance abuse across the continuum of care required.
• Experience with managed care, case management, utilization management, or quality improvement required.

Responsibilities

• Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs.
• Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts.
• Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations.
• Implement and manage procedures for tracking, identifying and problem‑solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve.
• Act as the clinical representative in various meetings.
• Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction.
• Serve as resource and liaison on utilization, quality improvement and case management activities.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Communication

Interpersonal skills

Stakeholder engagement

Problem solving

Education

Master's Degree in Social Work or Behavioral Health

LCSW - Licensed Clinical Social Worker

LMHC - Licensed Mental Health Counselor

LPC - Licensed Professional Counselor

LMFT - Licensed Marriage Family Therapist

LMHP - Licensed Mental Health Professional

Licensed Clinical Psychologist (state licensure may be required)

Job description

Centene Corporation is seeking a Behavioral Health Liaison to serve as a clinical information conduit between Operations and Medical Management teams. The role reviews member behavioral health records, coordinates with external providers, and drives data‑driven program analysis from a remote Missouri residence.

The candidate must hold an appropriate license (LCSW/LMHC/LPC/LMFT/LMHP or psychologist) and have 4+ years of outpatient behavioral health experience in community settings or practice.