Behavioral Health Clinical Liaison

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose:Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs

Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts

Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations

Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve

Act as the clinical representative in various meetings

Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction

Serve as resource and liaison on utilization, quality improvement and case management activities

Our Comprehensive Benefits Package:Flexible work solutions including remote options, hybrid work schedules and dress flexibility

Competitive pay

Paid Time Off including paid holidays

Health insurance coverage for you and dependents

401(k) and stock purchase plans

Tuition reimbursement and best-in-class training and development

Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams.Education/Experience:Master’s in Social Work / Behavioral health. 5+ years of experience in managed care, utilization management, case management, or quality improvementLicense/Certification:LPC, LCSWFor Fidelis Care plan only: LPC and LCSW preferred.For Behavioral Health: LPC, LCSW, LHMC or LMFTCentene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.TITLE: Behavioral Health Clinical LiaisonLOCATION: Omaha, NebraskaREQNUMBER: 1335834