[Hiring] Behavioral Clinical Program Manager @UnitedHealth Group

Role Description

The Applied Behavior Analysis (ABA) Practice Management Specialist must demonstrate strong clinical and analytic skills, as well as strong oral and written communication skills. They will be responsible for developing relationships with ABA providers and facilities, monitoring their clinical effectiveness and efficiency, and ensuring compliance with contractual obligations. This specialist will collaborate closely with senior leaders in ABA practices to optimize treatment outcomes for clients. Additionally, they will work with various teams, such as Care Advocacy Operations and Network Management, to achieve desired outcomes in ABA treatment for our members.

Schedule:

• Monday to Friday, 8 AM- 5 PM, flexible time zone

Location:

• Remote - Nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Engage with senior leaders (e.g., CEO) at ABA facilities/providers
• Initiate interventions with ABA providers/facilities to enhance clinical outcomes, improve quality of care, and ensure appropriate billing and practice patterns
• Support high-performing ABA providers/facilities to maintain their performance standards
• Identify outliers through analysis of clinical outcomes data and utilization/claims data
• Conduct audits of ABA programs and provide feedback on results
• Measure improvements in program performance over time
• Adjust interventions as necessary to optimize outcomes
• Implement and monitor Performance Improvement Plans (PIPs) to address performance issues
• Support work of ABA onsite team with data analysis, provider interviews, report writing
• Collaborate with other Optum departments, including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, Legal, Onsite audit, and Quality Improvement

Qualifications

• Licensed Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level Psychologist
• Licenses must be independent, active and unrestricted
• Board certification as a Behavior Analyst and state licensure (when required in home state) (BCBA)
• 3+ years of Managed Care and/or Utilization Review experience in a Managed Care setting
• 3+ years of experience with CPT/HCPCS codes
• Intermediate level of proficiency with MS Office

Requirements

• 3+ years of knowledge or willingness to learn analytics software such as Microsoft Excel
• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Company Description

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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