Manager, Operations (Behavioral Health Utilization Management Specialty team) Position Available In Plymouth, Massachusetts

Job Description:

Your Role The Behavioral Health (BH) Utilization Management (UM)Specialty team manages continuity of care, exceptions requests, andprovides support for the clinical Utilization Management team. TheManager, Operations (BH UM Specialty) will report to the Sr.

Manager, Operations (BH UM Intake). In this role you will overseeday to day operations, performance oversight and audit readiness.

Your Work In this role, you will: Responsible for a singular team,department or functional area. Scope of oversight includesplanning, cost management and methods Demonstrate BSC LeadershipBehaviors Foster a great place to work by clearly communicatingmission, vision, goals, roles, and expectations for team members;celebrating team achievements; building successful workingrelationships across the organization Direct and control theactivities of one or more smaller/less complex department(s) orfunctional area(s) through subordinate supervisors/team leadsEstablish operational objectives for department or functional areaand participates with other managers to establish group objectivesDevelop and support non-clinical processes to assist the clinicalBH UM team Oversee caseload management and adherence to regulatoryaccreditation and contractual requirements Develop productionstandards and monitor staff productivity Provide coaching,mentoring and guidance to non-clinical staff Identify processimprovement opportunities and independently drive solutions YourKnowledge and Experience Requires a college degree or equivalentexperience and minimum 7 years prior relevant experience, including3 years of management experience gained as a team leader,supervisor or project/program manager Understands basic managementapproaches such as work scheduling, prioritizing, coaching andprocess execution, work organization, risk management anddelegation Understands Blue Shield of CA’s mission and businessplan Has functional expertise within the area of responsibilityRequires advanced knowledge of job area usually obtained throughadvanced education combined with experience Requires 3 years ofexperience working in a customer experience environment focused onproviding provider, member or client support. Requires 3 years ofexperience working in a Call Center environment. Requires strongcritical thinking skills Requires the ability to work and makedecisions independently Requires strong written and verbalcommunication skills