Manager, Behavioral Health (outpatient) Um & Programs

Point32health Inc

Base: $98,659.20 - $147,988.80; bonus/equity: vari...
Manage behavioral health functional team
Ensure regulatory compliance adherence
Oversee utilization management processes
The Manager leads a Behavioral Health functional team while managing clinical processes to support the department's mission of high-quality, affordable healthcare

Job Summary

  • The Manager leads a Behavioral Health functional team while managing clinical processes to support the department's mission of high-quality, affordable healthcare.
  • This role requires developing and implementing initiatives that align with federal, state, and national regulations as well as specific Tufts Health Plan goals.
  • Point32Health offers a comprehensive total rewards package including medical, dental, vision, retirement plans, and paid time off.

Matching Summary

The Manager leads a Behavioral Health functional team while managing clinical processes to support the department's mission of high-quality, affordable healthcare.

Salary

Base: $98,659.20 - $147,988.80; Bonus/Equity: Variable pay eligible; Benefits: Medical, dental, vision, retirement, PTO, life insurance

Skills & Requirements

Must-have

  • Manage Behavioral Health functional team
  • Ensure regulatory compliance adherence
  • Oversee utilization management processes
  • Develop clinical care coordination initiatives
  • Monitor department metrics and performance

Nice-to-have

  • Experience with MassHealth or MCOs
  • Knowledge of NCQA accreditation standards
  • Strong cross-functional collaboration skills
  • Ability to drive quality improvement
  • Empathy for diverse community needs

Key Requirements

  • Hire, train, and manage staff effectively
  • Conduct formal performance appraisals and disciplinary actions
  • Review semi-annual IRR results for UM decision making
  • Collaborate with MassHealth and other managed care entities

Work Rights

Not specified

Tailored Resume

Cover Letter