Chapel Hill, NC16 days ago
Reporting to the VP, Clinical Operations, the Senior Director acts as a key internal liaison between Clinical Operations and BHPSās market-facing teamsāpartnering closely with clinical, operational, quality, finance, network, sales, and growth leaders to drive measurable improvements in outcomes, utilization, value-based performance, regulatory compliance, and client satisfaction. This role is critical to ensuring consistent, high-performing case management operations within the BHPS TPA model and to maintaining accreditation and regulatory readiness across URAC, NCQA, CMS, ERISA, MHPAEA, the No Surprises Act, and HIPAA confidentiality requirementsāwith particular attention to obligations owed to self-insured clients.