Executive Director, IBM Account, UBH, Philadelphia, PA

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.

 

The Executive Director has overall responsibility for the delivery of quality clinical and ancillary services to the IBM account, including EAP/worklife,

claims customer service, care management, medical and QI functions of the mental health care program.  Responsible for maintaining strong, effective



clinical and ethical standards, protocols, procedures.

 

1. Provides management, supervision and strategic direction for the behavioral health care program. Responsible for overall quality and P&L results.





2. Responsible for meeting clinical and ethical standards and protocols as well as implementing  procedures to support them.





3. Plans, implements and monitors operational systems for the program. Chairs and participates in committees and workgroups involving program staff and other stakeholders as required.





4. Sets and monitors departmental quality and performance standards (as required by federal/state, JCAHO, URAC, or similar accrediting bodies) for clinical and administrative functions of staff; does so in conjunction with the RVP and representative.  Represents the mental health care program in all UBH QI activities and oversees all QI projects. Works with the QI department to meet/maintain all applicable credentialing standards.





5. Responsible for budget planning, adherence and forecasting as required.





6. Monitors and manages activity to meet utilization expectations and participates in the development and analysis of outcome data and the response to those data.  Continuously applies data to improve operational efficiency, outcomes, member and client satisfaction.





7. Oversees hiring, orientation, training, recognition programs, disciplinary actions, staff development, staff retention and performance evaluations.





8. Supports the account management/sales function for the IBM program. Coordinates and participates in the sales, marketing, and implementation of new products, programs, services on behalf of IBM.





9. Represents the IBM mental health care program in UBH interdepartmental functions.





10. Participates with other directors and managers within the region to implement strategic initiatives, policies and procedures -- especially those that impact services delivered by the IBM program.  Participates in the identification and implementation of best practices.





11. Other duties as assigned by the RVP.







 











































































MA/PhD in psychology, social work, or related behavioral healthcare discipline required.  PhD strongly  preferred.  Masters degree in business administration a plus. At least 4-7 years of experience in behavioral managed care environment. Experience in a broad range of settings with a proven track record of attaining positive quality and financial results. Strong clinical background and skills required in behavioral managed care, including demonstrated success in establishing effective clinical protocols as well as achieving both performance and quality standards and goals. Experience must include significant management responsibilities at the director level including P&L, hiring and effective performance management.  Demonstrated success in matrix-management organization a plus. Background in insurance/HMO strongly desired.  Demonstrated  team-building and overall leadership ability. Skilled in managing and motivating employees in a call center/clinical environment a plus. Demonstrated skill in the use of computers, Microsoft Office, email systems, as well as in overall written communication.  Experienced in supporting accreditation efforts (e.g. JCAHO/NCQA) and meeting regulatory/compliance standards.  Strong customer service orientation. Ability to effectively manage off-site employees and  influence others outside of direct reporting relationship in the achievement of goals and objectives. Strong interpersonal and presentation/platform skills plus expertise in communicating the business unit’s capability and results to prospective, as well as existing customers. Experience in creative, innovative and solution-focuse. Ability to problem-solve, as well as managing workflow and systems development and maintainence.  Must be a team player, flexible, highly ethical, value-driven, results-oriented and a professional of high personal integrity.

 

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.  Please apply online to