Manager, Behavioral Health Clinical Liaison/Operations

AmeriHealth Caritas

Dublin, OH(remote)

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JOB DETAILS

SKILLS

Behavioral Health, Broadband, Business Strategy, Communication Skills, Consulting, Contract Law, Cross-Functional, Data Analysis, Diversity, Drug Development, Health Department, Health Physics, Health Plan, Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Management, Healthcare Providers, Healthcare Quality, Hospital, Internet/Online Service, Leadership, Management Strategy, Multitasking, Performance Management, Policy Development, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Project Planning, Project Tracking, Project/Program Coordination, Project/Program Management, Psychiatry and Mental Health, Quality Assurance, Quality Management, Regulations, Reimbursement, Service Delivery, Strategic Planning, Team Player, Trend Analysis, Utilization Management

LOCATION

Dublin, OH

POSTED

2 days ago

Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring of programs that promote whole-person integrated physical and behavioral healthcare. This role focuses on improving behavioral health service delivery, supporting cross-functional collaboration, advancing behavioral health equity, and reducing health disparities across the health plan.

Work Arrangement:

+ This role is remote, and the associate must be located in Ohio (OH)

+ Associates must have access to a reliable high-speed internet connection with a minimum download speed of 50 Mbps and an upload speed of 5 Mbps. Fully remote associates residing in states where internet service is required by contract, law, or regulation may be eligible for reimbursement.

Responsibilities:

+ Lead the development, implementation, and monitoring of behavioral health and whole person care initiatives

+ Partner with executive leadership to support integration of behavioral and physical health strategies across the plan

+ Serve as a key resource for behavioral health integration and operational issues across departments.

+ Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management (IHCM), Long-Term Services and Supports (LTSS) to support care coordination and service delivery.

+ Consult with leadership and stakeholders on behavioral health systems, provider networks, and care management strategies

+ Represent the plan to external stakeholders, including state agencies, providers, advocacy organizations, and community partners.

+ Serve as a liaison with judicial systems, including courts and Department of Health and Hospitals (DHH) representatives, when applicable.

+ Support interdisciplinary case rounds in partnership with clinical leadership to address complex member needs

+ Promote the use of evidence-based practices and nationally recognized clinical guidelines

+ Contribute to the development and review of policies to ensure integration of behavioral health and whole person care principles

+ Support workforce training, professional development, and performance improvement initiatives

+ Partner with Wellness Centers and Mobile Wellness teams to support outreach, screenings, and engagement activities

+ Identify barriers to care and support strategies to improve access to behavioral health services

+ Monitor and analyze data to identify service gaps, trends, and opportunities for improvement

+ Support process improvement initiatives aligned with organizational goals and quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) outcomes

+ Maintain work plans to track progress of initiatives and programs

+ Ensure equitable access to services and programs for members with behavioral health and substance use needs

+ Participate in enterprise workgroups and committees to support alignment with organizational strategies

Education & Experience:

+ Master’s degree required in a behavioral health-related field

+ 3 years of experience providing mental health and/or substance use screening and treatment services

+ Experience working in behavioral health systems, including care coordination, program development, or clinical operations

+ Knowledge of integrated care models, whole person care, and trauma-informed care principles

+ Experience collaborating with interdisciplinary teams and external stakeholders

+ Experience supporting quality improvement initiatives and program implementation

Licensure :

+ Active and unrestricted Ohio behavioral health licensure required, including one of the following: Independent Behavioral Health Practitioner (I-BHP) or Behavioral Health Practitioner (BHP)

Skills & Abilities:

+ Strong knowledge of behavioral health service delivery models and integrated care approaches

+ Understanding of evidence-based behavioral health screening and treatment practices

+ Ability to collaborate and build relationships with internal teams, providers, and external stakeholders

+ Strong communication and presentation skills, including interaction with executive leadership and community partners

+ Ability to analyze data, identify trends, and support performance improvement initiatives

+ Problem-solving and critical thinking skills to address barriers to care and improve access

+ Ability to manage multiple priorities and initiatives in a fast-paced environment

+ Organizational and project management skills to support program implementation and tracking
As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

About the Company

AmeriHealth Caritas

Leaders in health care solutions for those most in need

AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.

Our mission, our goal

Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.

COMPANY SIZE

5,000 to 9,999 employees

INDUSTRY

Healthcare Services

FOUNDED

1985

WEBSITE

http://www.amerihealthcaritas.com