Anthem Director Behavioral Health Services (PS2776) in San Jose, California
Your Talent. Our Vision.At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Director Behavioral Health Services
Responsible for directing a state or regional behavioral health services function. Primary duties may include, but are not limited to: Ensures appropriate utilization and administration of EAP or Behavioral Health services. Directs assessments, provides appropriate referrals, and performs follow up to ensure the quality and appropriateness of services. Develops and maintains a positive relationship with providers, advocates and state partners and works to maintain quality outcomes, proper billing, and coordination of care. Leads and participates in cross functional corporate teams which design and implement new care/case/utilization management programs that may impact multiple lines of business and multiple states. Develops and implements process and program redesigns. Leads multiple teams of clinicians charged with promoting quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures adherence to all contract, regulatory and accreditation requirements. Develops short/long-term objectives and monitors processes and procedures to ensure consistency with the enterprise and compliance with state and federal regulations. Collaborates with Care Management partners to resolve issues or find solutions. Manages budget and special projects. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires a MS in a mental health field (i.e. social work, counseling) or related field (i.e. nursing); 10 years of clinical experience including utilization management, case management and leadership experience in Medicare; or any combination of education and experience, which would provide an equivalent background. Current unrestricted license for specific profession (i.e. LCSW, RN,) as required.
/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers.EOE.M/F/Disability/Veteran/
Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
Title: Director Behavioral Health Services (PS2776)
Location: california-San Jose
Requisition ID: PS2776