Clinical Liaison

• Serve as a liaison for external groups and providers regarding clinical information from Operations and Medical Management teams
• Assess and review member clinical records and services related to behavioral health and substance use
• Interpret and present program results
• Develop data-driven analysis and metrics to measure program effectiveness and ROI
• Partner with staff and internal/external departments on provider education and outreach
• Identify gaps and develop and deploy education efforts
• Partner with regional leadership regarding clinical interpretation of health plan reporting, data, and quality incentive payments
• Facilitate discussions and make recommendations
• Implement and manage procedures for tracking, identifying, and resolving operational issues
• Act as the clinical representative in meetings
• Collaborate to identify opportunities and initiate process changes to improve quality and staff, provider, and member satisfaction
• Serve as a resource and liaison for utilization, quality improvement, and case management activities
• Perform other duties as assigned
• Comply with all policies and standards

Clinical Liaison jobs in Arizona

Behavioral Health Clinical Liaison