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SVP, Social Determinants of Health Operations (Social Health Bridge)

Company: Centene Corporation
Location: Sanford
Posted on: August 21, 2019

Job Description:

Social Health Bridge, a newly founded wholly owned subsidiary of Centene Corporation, is a first in the nation effort to create a financially sustainable Social Determinants of Health enterprise. - -As a true community solution, it aims to bridge the divide between the health and social service sectors. We expect to contract with a wide variety of MCOs, health systems and providers to leverage CBO services on a value-based, at-risk basis to promote meeting targeted outcomes.
Social Health Bridge is designed to be that middle layer by contracting directly with community organizations and with health entities. - SHB will work with community organizations to develop a set of standard, evidence based practices that will ensure consistent, high value results. - Additionally, because SHB will be working across a multitude of community organizations, it will have the ability to create scale and aggregate consumers that make it attractive to health entities. - Instead of a health entity having to contract individually with each community organization, and trying to ensure appropriate standards and practices are met, they will be able to contract with SHB. - And because SHB has aggregated consumers, it will be able to develop value based payments to ensure that health entities achieve the outcomes that matter to them.
Position Purpose: -Oversee and direct all clinical operations, including care management and coordination, and utilization management

  • Establish the business units clinical strategic vision, objectives, policies and procedures to ensure delivery of cost effective, clinically appropriate services in all markets
  • Monitor performance results against established metrics and benchmarks and recommend improvement opportunities
  • Serve as the subject matter expert and participate in all new implementations
  • Oversee utilization and care management across all markets
  • Participate in customer, health plan, and QI meetings
  • Oversee the production of reports required by the contract and management
  • Collaborate with various departments to resolve provider claims issues
  • Ensure effective care is delivered to members while achieving utilization management goals
  • Oversee annual budget for clinical operations
  • Drive efforts to increase staff expertise at shaping providers to perform more effectively in the delivery of care, including development of training programsEducation/Experience: -
  • Master's degree in Behavioral Health, Psychology, Public Health/Administration, related field or RN license. -
  • 8+ years of clinical and operations experience in the behavioral health industry. -
  • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. -License/Certification: -
  • Unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN.Preferred Experience:
  • Community Based Organization oversight experience
  • Working in a start-up environment*This position will include frequent travel, throughout the US, 50% or more, as needed.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Centene Corporation, Fort Pierce , SVP, Social Determinants of Health Operations (Social Health Bridge), Healthcare , Sanford, Florida

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