Remote Provider Enablement & Quality Improvement Lead

ISHE; Phoenix, Northern (AZ, KY); Hybrid; USD 73,000 - 130,000; Full time

Benefits offered by this job

Paid time off & holidays

Medical, Dental, Vision insurance

401(k) & ESPP

Education reimbursement

Employee discounts

Employee assistance program

Work from home

Job summary

Optum is seeking a Provider Enablement Consultant to oversee clinical management of value-based programs in Behavioral Health. You will build relationships with providers, monitor performance, and drive improvements to outcomes and efficiency.

The role requires strong clinical and analytic skills, excellent communication, and collaboration with senior leaders across care advocacy and network teams. Remote work from anywhere in the U.S. is available.

Qualifications

• Active and unrestricted master's level clinician in psychology, social work, counseling, or marriage/family counseling, or licensed PhD/PsyD.
• Bachelor's level RN licensure in state of residence.
• 3+ years post-licensure behavioral health clinical experience.
• 1+ years in a managed care setting.
• 1+ years in healthcare data analytics or reporting.

Responsibilities

• Build and maintain relationships with provider leadership and clinical staff.
• Facilitate oversight meetings and monitor performance.
• Monitor program metrics and adherence to contracts.
• Identify performance improvements via data analysis.
• Communicate interventions to improve outcomes and efficiency.
• Lead Quality Improvement Plans and provider audits.
• Provide care coordination support and education.

Skills

Strong clinical and analytic skills

Oral and written communication

Microsoft Office (Excel)

Education

Master's degree in Psychology / Social Work / Counseling / Marriage & Family Counseling

Licensed Ph.D./Psy.D. in Psychology or RN license in state of residence

Tools

Microsoft Office Suite

Job description

Optum is seeking a Provider Enablement Consultant to oversee clinical management of value-based programs in Behavioral Health. You will build relationships with providers, monitor performance, and drive improvements to outcomes and efficiency.

The role requires strong clinical and analytic skills, excellent communication, and collaboration with senior leaders across care advocacy and network teams. Remote work from anywhere in the U.S. is available.