Executive Director TennCare Public Sector- Brentwood, TN

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



United Behavioral Health, a UnitedHealth Group company, is a leading provider of emotional wellness services. Currently serving over 22 million Americans, our innovative solutions include behavioral health, employee assistance, work/life and pharmacy management services, as well as a unique disability support program. We offer specialized, confidential support to help our members live and work well, and excellent resources and rewards for your career so you can do the same. A healthy business awaits you at UBH.



Position Summary:

Primary responsibility for all operations and contract deliverables for the TennCare Public Sector, Operations and contract. Includes implementation of UBH/TennCare projects, internal staff development, budget development and adherence, development & adherence to policies and procedures, and establishing priorities based on TennCare deliverables. Responsible for all program planning functions with UHc/TennCare and stakeholders and for meeting contracted reporting requirements and performance standards. Accountable for business retention, RFP responses, and contract negotiations.



Responsibilities:


Coordinate day-to-day operation in all departments to achieve goals and ensure smooth and efficient functioning of the TennCare Operations public sector site.


Interact closely with TennCare and AmeriChoice operations, managers, providers and other stakeholders in the development and implementation of Behavioral/Medical systems of care requirements.


Ensure the timely completion of contract deliverables.


Guide Directors, managers and supervisors in the effective delivery of services, meeting goals, and avoiding contract penalties.


Oversee the clinical and administrative supervision of staff.


Participate in UBH/JDH/AC wide meetings/projects and provide a link with other departments/business units. Ensure collaboration and coordination with other areas of UBH/SCS/JBH, AC, and especially TennCare Medicaid business units.


Oversee hiring, promotions and disciplinary actions to assure adherence to human capital policies.


Formulate action plans to remedy any findings from audits, TennCare activities, utilization reports, provider and client concerns and TennCare and UHc/AC reports/concerns.


Demonstrate effective, adaptive leadership style that promotes innovation and accountability, and establishes work priorities; delegate pertinent activities.


Represent TennCare enrollees/community and in support of all TennCare initiatives.


Lead responses to implement the TennCare business, lead contract negotiations, lead the implementation of new TennCare business/projects.




Job Requirements:


Advanced degree (Master's, Ph.D.) in psychology, social work, nursing or related professional field.


Administrative experience in public sector and /or behavioral health.


Minimum 7 years broad range managerial experience.


Thorough understanding of Public Sector-Medicaid managed care principles, models, and financing required, with a minimum of two years experience in a corporate managed healthcare environment strongly preferred.


Prior experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations required.


Minimum three years of public sector health administration/management required.


Demonstrated leadership effectiveness and project management expertise.


Demonstrated excellent verbal and written communication skills required.


Prior experience making oral presentations preferred. Strong customer service orientation required. Strong data analysis and report writing capability required.


PC proficiency required.


Demonstrated abilities to build effective teams, facilitate staff working together collaboratively, and retain top talent.


Exceptional planning, organization, and monitoring skills.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V