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 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 Behavioral Health Value-Based Initiatives Clinical Program Consultant will develop, implement and monitor operational strategies to achieve client outcomes for behavioral health and substance use disorder services. This includes collaboration with operations and internal business partners to set strategy, design services and continually improve to meet the needs of the members, employees and clients. This role develops action plans to mitigate expense trend, monitor progress to business goals, identify and prevent gaps in achieving results. This role is a key contributor to the growth and profitability of Behavioral Health by ensuring the operational model provides exceptional clinical value and cost management.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Design, orchestrate, and evolve operational strategies to deliver on client expectations on cost management goals in coordination with our MD, Product and Value Optimization partners

• Identifies new and innovative solutions in partnership with MD, Product and Value Optimization partners

• Drive overall financial outcomes including appropriate oversight and influence of benefit expense; ensure care delivered is efficient and appropriate for the unique circumstances of members

• Monitor to ensure that all client, state, national and accreditation organizations regulatory guidelines are maintained through a rigorous audit process in collaboration with partners

• Develop and execute processes to support improved Medical-Behavioral Integration with partners. Including the development of close working relationships with partners within the medical delivery environment including external providers

• Serve as a subject matter expert of performance data and root cause analysis to develop solutions to address the core issue.

• Use data to identify trends, patterns, issues and opportunities that have an impact on the business and utilize the data to help make sound business decisions/recommendations

• Serve as a credible business leader by communicating a shared vision and urgency for changes by clarifying how the change will help the organization meet business goals and by articulating the benefits of change

• Evaluate the effectiveness of clinical rounds to drive optimal outcomes

• Assess, track, and improve the value of key interventions provided by operational staff

• Partner with business and product leaders to develop innovative strategies to deliver on expectations

• Standardize operational approach to achieving performance across all markets, allowing for market nuances where needed to achieve value

• Act with a sense of urgency when performance issues/concerns are identified to find short- and long-term solutions

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:

• Independently Licensed, Master's degree level in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2+ years of experience in behavioral health

• Clinical licensure must be active and unrestricted

• 5+ years of experience in operational, problem solving, process development and consensus building roles in a direct or indirect managed care environment, including multi-functional departments

• 3+ years of analyzing data, trends and underlying factors to make clinically focused recommendations that help reduce costs and drive member behavior change

• Experience translating data into meaningful / actionable information

• Intermediate to advanced skill with Excel and PowerPoint

Preferred Qualifications :

• Proven ability to manage members with complex medical, family and social relations (Exchange DSNP, Duals, Medicaid)

• Demonstrated excellent conflict management skills

• Demonstrated aptitude to assess and identify business gaps

• Demonstrated ability to influence / lead positive change

• Demonstrated ability to lead change and innovation

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only : The salary range for this role is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives

Application Deadline: This will be posted for a 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.