Accountable Care Organization (ACO), Advocacy / Non-Profit, Health Plan
Under the supervision of the Senior Director of Behavioral Health, the SUD Program Manager will work closely with teams to lead and manage operational objectives for Colorado Access’ SUD programming. They will implement and manage SUD plans and operationalize SUD processes at Colorado Access which includes collaboratively coordinating with internal departments, providers, and at times, HCPF. The Sr Director will delegate operational activities and responsibilities to this position to complete and move new and current work forward for all SUD operations. The SUD Program Manager will monitor SUD information related to the management of the Medicaid benefit for SUD services.
· Responsible for the day to day management of all operational activities associated with the SUD provider evaluation process. This includes, but is not limited to: managing the TEAMs pages for all SUD implementation information, managing the provider evaluation process, keeping the logging and review status of each application, assigning reviews to the clinical review team, taking part in reviews, handling notifications and other correspondence with providers related to review status, working with and notifying other COA departments of review results, notifying providers of results and remediations, and generally managing all day to day processes to continue this work.
· Completes provider clinical/quality reviews and assists with program design.
· Works with the Sr Director to implement and continue to push forward SUD strategies for COA, outlined in the BH Strategy plan and the Health Transformation Plan for COA in all ways pertaining to SUD initiatives. Works with the team to develop and monitor any value-based arrangements with SUD providers.
· Works closely with Provider Relations, Contracting, Care Management, Utilization Management, and Practice Support to help guide those departments in working with SUD providers. This frequently includes helping to resolve problems, direct providers appropriately, and answer practice related questions.
· Completes special projects that arise from HCPF as they relate to SUD work. This includes researching information and assisting in formulating responses to HCPF, with the Sr. Director’s oversight.
· Assists in regular monitoring of data and reports. Monitors SUD operations and status of work and spend. Keeps Senior Leadership informed and apprised of potential performance concerns.
· Creates presentations related to SUD work, and gives presentations or portions of presentations for COA stewardship, HCPF check ins, Leadership Meeting and other venues.
· Provides support to COA staff and any SUD providers as required. This includes but is not limited to: providing one on one support, consultation, problem solving and provide SUD related trainings as needed.
· Attends meetings as requested and required. This includes internal meetings, HCPF meetings, RAE meetings and meetings with other organizations, such as the DCMHI as needed, meetings with CMHCS, meetings with IPN mental health providers.
· Assists the Senior Director in promoting high quality SUD services at COA for the ultimate benefit of our members.
· May develop operational strategies related to SUD programming, and has responsibility for implementing new programs and activities as we broaden the scope of SUD services and initiatives.
· Assists the Senior Director with SUD related meetings in organizing, completing agendas, taking and distributing meeting notes and taking the lead on follow up activities.
· Assists in the completion of SUD related deliverables and may be the lead on some of these activities.
· Provides general support to COA related to all SUD services, programming and operations.
*Due to the pandemic, our employees are temporarily working at home. We require our workforce to reside in Colorado and telecommute, which may require you to come into the office as we serve our local communities.
COMPENSATION & BENEFITS:
Compensation: $40, 000.00 - $73,500.00 annually. Pay rate/salary to be commensurate with experience.
Benefits: In addition to being part of a mission driven organization that serves our community, eligible Colorado Access employees receive a generous benefits package, including:
Medical, Dental, & Vision starting the 1st day of the month following start date.
Supplemental insurance such as critical illness and accidental injury.
Healthcare and Dependent care flexible spending account options.
Employer Paid Basic Life Insurance and AD&D (employee, spouse and dependent).
Short-term and Long-term Disability Coverage.
Voluntary Life Insurance (employee, spouse, dependent).
Paid Time Off
Tuition Reimbursement (based on eligibility).
Annual bonus program (based on eligibility, requirements and performance).
Education: Bachelors’ degree required in a behavioral health field, social sciences, public health or related field. A combination education and experience can be substituted for the degree with a preference for 7 years’ experience.
Experience: Minimum of three years’ experience working with SUD programs, preferably in the state of Colorado. Experience working with Medicaid programs preferred. Program development, project management, or program evaluation experience preferred.
Knowledge, Skills, and Abilities: Must have strong computer skills and be able to synthesize data into manageable formats, be able to problem solve independently, help think creatively to find solutions to problems or barriers, excellent written and verbal communication skills, extensive knowledge of SUD service and programs in Colorado with solid understanding of SUD billing and operations is a must. Must work well with a team and be able to speak publicly with proficiency. Demonstrates support for the company’s mission, vision and values. Strong organizational and time management skills along with strong negotiation and coordination skills with providers, education, etc. Strong interpersonal skills with ability to guide and teach others. Ability to manage multiple priorities and projects with tight deadlines. Position requires flexibility to use complex processes and procedures to facilitate quality outcomes and/or resolutions while working with other team members with varied skills and educational background.
Licenses/Certifications: License or certification in substance use disorders is preferred. A valid driver's license and proof of current auto insurance will be required for any position requiring driving.
Internal Number: 160
About Colorado Access
We’re a locally based nonprofit health plan that’s been changing the health care landscape in Colorado for more than two decades. We are the only organization in Colorado caring for members across a continuum of health services, from Health First Colorado (Colorado’s Medicaid Program) physical and behavioral health to Child Health Plan Plus and long-term services and supports. Our broad view allows us to stay focused on our members’ unique needs while we create integrated systems to serve them better.