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Senior Vice President, Behavioral Health

This position serves as the primary representative and leader of strategic and operational integration for Behavioral Health in the Chief Medical Officer (CMO) Division. Work is anchored in developing and overseeing behavioral health activity and partnering with internal and external leaders to guide the execution of the behavioral health strategy to achieve identified quality and health outcomes for members with behavioral and/or substance use conditions. Primary duties include strategic leadership, operational planning, resource management, internal/external communications, externally representing CO, stakeholder engagement, financial management and guidance, and development and oversight of effective teams.

Estimated Hiring Range:

$264,510.00 - $323,290.00

Bonus Target:

Bonus - SIP Target, 10% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Essential Responsibilities

Technical/Strategic Leadership

• Provide strategic leadership through co-development and deployment of the CareOregon Behavioral Health strategy across all lines of business, including Medicaid, Medicare, other benefits (as applicable).
• Develop and oversee measures for each line of business by directing activities related to behavioral health strategy and operational alignment within and external to the CMO Division.
• Provide direction and departmental oversight for teams engaged in developing effective behavioral health programs and processes to meet the goals set forward by the division leads.
• Evaluate and advise on the impact of long-range planning, introduction of new programs/strategies and regulatory action on all behavioral health initiatives.
• Facilitate CareOregon’s clinical approach based on member population needs and the desired member health and experience outcomes and impact.
• Drive integration and communication of behavioral health strategy and contract changes to internal and external stakeholders.
• Provide input and/or expertise as needed for clinical and operational teams by ensuring that each lead and region has sufficient resources, achieve quality outcomes, and execute on strategies that advance strategic behavioral health programs/projects.
• Collaborate with Senior Medical Directors to operationalize CareOregon Quality and Health Outcomes goals and strategies, as well as to optimize behavioral health care coordination delivery necessary to support CareOregon membership.
• Provide expertise to C-Suite in the design of enterprise-wide Behavioral Health strategy, and lead the execution of this strategy.
• Guide intersections across matrixed teams, Data and Informatics, Information Systems, Operations, and other stakeholders to support behavioral health Behavioral Health, Dental, Medicare and other stakeholders.
• Ensure effective operations and measurement, including compliance and regulatory reporting of required activities under contract.
• Support emerging opportunity assessments involving the creation or onboarding of new organizations or new strategic partnerships.
• Identify and oversee behavioral health investments and costing decisions aligned with organizational strategic priorities.
• Advise executive leadership on emerging market trends and best practices for behavioral health solutions.
• Serve as Executive Sponsor for key projects and initiatives.
• Ensure and measures customer value, satisfaction, reliability, and continuous improvement of the CO behavioral health strategy.
• Promote a culture of continuous improvement, service, and accountability while developing staff and leaders.

Strategic Planning

• Actively and regularly participate in strategic planning and collaboration at the organizational level.
• Provide counsel to the organization’s executive leadership on specific areas of short- and long-term planning related to clinical strategy development and deployment.
• Lead the development of vision and goals for areas of oversight.
• Maintain a deep understanding of CareOregon operations and strategic functions, their strengths as well as internal or external threats.

Financial/Resource Management

• Develop, propose, and oversee substantial budgets in alignment with strategic planning and organizational needs.
• Counsel on financial and labor allocations across the organization, including people, finances, and timelines.

Relationship Management

• Develop, implement, and manage strategic relationships with stakeholders that include innovative clinical arrangements and health outcome accountability.
• Ensure strategic messages are regularly and effectively relayed to appropriate internal and external stakeholders.
• Collaborate with other departments in the development and implementation of new care models that require ongoing clinical support and innovation.
• Build and maintain strategic relationships relating to division resilience, quality improvement, innovation, LOB/regional boards and committees, CAPs, clinical integration programs, funding, assessment, and evaluation.

Employee Supervision

• Direct teams and establish team direction and goals in alignment with the organizational mission, vision, and values.
• Identify work and staffing models; recruit, hire, and oversee a team to meet work needs, using an equity, diversity, and inclusion lens.
• Identify department priorities; ensure employees have information and resources to meet job expectations.
• Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.
• Manage, coach, motivate, and guide employees; promote employee development.
• Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
• Ensure team adheres to department and organizational standards, policies, and procedures.
• Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).
• Perform supervisory tasks in collaboration with Human Resources as needed.

Experience and/or Education

Required

• Minimum 10 years’ experience in behavioral health, including experience in managed care and health plan functions and clinical and/or operational programs
• Master’s degree in social work, counseling, or related field

Preferred

• Minimum 5 years’ experience in a supervisory position
• Experience leading within Medicaid and Medicare plans

Knowledge, Skills and Abilities Required

Knowledge

• Advanced knowledge of managed health care, applicable laws, quality and health outcome development and program implementation
• Advanced knowledge of clinical workflows and strategic development
• Thorough knowledge of principles and statistical methodologies for program assessment and evaluation
• Strong understanding of financial structures, fiscal responsibility, and the economic impact of business decisions

Skills and Abilities

• Leadership effectiveness and ability to design and implement constructive change
• Ability to negotiate and execute complex contractual relationships to align with specific corporate initiatives, strategies, goals, and objectives
• Exceptional relationship-building skills to promote an open and positive atmosphere
• Excellent presentation skills; ability to speak clearly and persuasively in positive or negative situations
• Ability to effectively communicate verbally and in writing organizational mission, vision, and goals to all levels of the organization
• Ability to develop and lead high performing teams, including hiring, goal setting, coaching, performance management, and development
• Ability to make complex and timely decisions, exhibiting sound and accurate judgment
• Extensive data analysis skills derived from formal statistical knowledge and training
• Strong analytical and problem-solving skills
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read and hear for at least 6 hours/day
• Ability to speak clearly and perform repetitive finger and wrist movement for at least 3-6 hours/day

Working Conditions

Work Environment(s): Indoor/Office Community Facilities/Security Outdoor Exposure

Member/Patient Facing: No Telephonic In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment

Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location: Office - 3 days/week

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

We are an equal opportunity employer

CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.