Clinical Liaison

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

Explore Behavioral Health Clinical Liaison at Centene Corporation. Review requirements and application details.