Behavioral Health Client Liaison

Job Summary:

Behavioral Health Subject Matter Expert accountable for developing a strategic approach to BH management at the market and account level by establishing relationships with key accounts (C-suite on down) in support of internal customer needs (CBU). Charged with delivering results that demonstrate value to the customer derived from identifying, demonstrating and supporting sales of behavioral health care and cost solutions as well as client retention activities. In depth knowledge of local and national challenges and solutions associated with BH. Accountable for ensuring contract compliance, developing and executing strategic plans in partnership with business units, leading cross functional teams in support of achieving client commitments for BH. Takes leadership role in working with CBU to insource BH program for clients historically outsourced to other vendors.

Responsibilities:

• Creates and maintains partnerships with internal and external customers through the development, implementation and execution of BH strategic business plans that support client upsell and retention of profitable relationships for all lines of business (Commercial, Medicare and Medicaid).

• Serves as the face and voice of Horizon Behavioral Health and represents enterprise at a variety of external meetings and calls including but not limited to external sales presentations, external account presentations, operational meetings, benefit planning meetings, meetings with consultants on behalf of new/existing accounts, etc.

• Manages VIP cases and requests for elevated customer support; clinical and administrative needs.

• Effectively maintains relationships with key decision makers (internally and externally including CBU leadership and client account leadership).

• Serves as client consultant regarding BH regulatory environment and compliance requirements – Mental Health Parity and Addictions Equity Act (MHPAEA) both nationally and NJ specific; 42 CFR Part 2 etc.

• Directs operations team in resolving BH customer service issues and actions supportive of the achievement of customer service requirements including attainment of performance guarantees and minimization of performance penalty exposure.

• Provides active team leadership in addressing and resolving customer issues and complaints.

• Identifies opportunities, develops and implements programs and solutions effecting utilizing organizational resources.

• Creates ongoing  and adhoc client reporting related to BH programs and services as needed.

• Provides in-person and virtual trainings as needed for clients, client partners (EAP’s etc.) and internal team members around BH challenges, programs and services.

• Ensures BH customer and account-facing services are provided in a consistent timely fashion.

• Demonstrates the value of BH solutions (unit cost, UM and patient care enhancement)

• Identify/create opportunities for upselling additional services to support unmet BH needs in partnership with CBU.

• Responds to RFP’s for new and existing business related to BH.

• Owns overall account satisfaction related to behavioral health operations.

• Stays abreast of market trends and assists with development of strategic approach to management of national/corporate accounts.

• Responsible for BH education, implementation and monitoring of relationships with ASO clients.

• Creates BH presentation materials and facilitates client presentations and meetings – internal and external.

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Education/Experience:

• High School Diploma/GED required.

• Bachelor degree preferred or relevant experience in lieu of degree.

• Masters preferred. 

• Independently licensed BH clinician preferred.

• Requires a minimum of 5 years of managed behavioral healthcare or related experience.

• Thorough knowledge of account management, customer relations and business management is essential.

Additional licensing, certifications, registrations:

• Requires valid driver’s license and access to a car.

• Prefer candidate with independent clinical license i.e. LCSW, LMSW, LMFT, LPC

• Requires familiarity with contracting concepts.

• Requires knowledge of the regulatory environment including state specific laws, mandates and regulations.

• Requires knowledge of BH, managed care and health insurance industry.

• Prefers knowledge of the enterprise operations and products.

Skills and Abilities:

• Demonstrated ability to make decisions with little need for direction and to function effectively as a team-oriented, self-starter working across cross-functional lines.

• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Outlook; should be knowledgeable in the use of intranet and internet applications.

• Demonstrated ability to deliver highly technical information to less technical individuals. 

• Able to develop content and execute webinar/podcast trainings.

• Must have excellent presentation skills; effective verbal and written communication skills and demonstrate the ability to work well within a team. 

• Proven time management skills are necessary.  Must demonstrate the ability to manage multiple priorities, deliver timely and accurate work products with a customer service focus and respond with a sense of urgency, as required.  Demonstrated ability to work in a production focused environment. 

• Proven ability to exercise sound judgment and strong problem solving skills.

• Must be client service focused with effective ability to empathize.

• Must be detail oriented with strong organizational and data processing skills.  Proven ability to follow detailed instructions is essential, along with excellent math skills.

• Proven analytical, research and problem solving skills a must.

• Must demonstrate ability to learn quickly and apply learning to new situations.  Must exhibit flexibility to change as appropriate.

• Needs to demonstrate willingness to cross-train, and be cross-trained, in other roles/duties.

• Must have strong entrepreneurial business development, negotiation, relationship building and networking skills.

Salary Range:

$94,900 - $129,570

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.  This range has been created in good faith based on information known to Horizon at the time of posting.  Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.  Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.