Anthem, Inc. Director II Behavioral Health Services - Remote in Canton, Ohio
SHIFT: Day Job
Be part of an extraordinary team
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high performance culture that empowers you to make an impact?
Director II Behavioral Health Services
Responsible for directing multiple states or regional behavioral health services function. Responsible for all lines of business and multiple states (upwards of 11 states) depending on size and complexity of the contract. Serves as the primary interface to the states, clients in the region and drives the strategy and overall execution.
How you will make an impact:
Ensures appropriate utilization and administration and/or delivery of EAP or Behavioral Health services.
May lead team(s) of clinicians providing direct care 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.
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)
Minimum of 10 years of clinical experience including case management and leadership experience; 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.
Preferred Skills Capabilities and Experience:
Previous managed care experience is strongly preferred.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact firstname.lastname@example.org for assistance.