Note: The job is a remote job and is open to candidates in USA. Optum delivers technology-enabled care and resources that help millions of people live healthier lives. The Autism Program Manager/Lead serves as a clinical and program subject matter expert supporting ASD/ABA provider performance, program operations, quality improvement, and strategic initiatives while partnering with providers and cross-functional teams to improve outcomes.
Responsibilities
- Manage ASD/ABA provider performance through scorecards, data analysis, and performance improvement initiatives
- Identify provider trends, outliers, and opportunities for improvement using claims, quality, compliance, and outcomes data
- Partner with providers and internal stakeholders to resolve issues and improve quality, access, and member outcomes
- Solve complex problems using innovative approaches, sound judgment, and cross-functional perspective
- Serve as a subject matter expert on ASD/ABA programs, provider operations, and related clinical and operational matters
- Lead projects, process improvements, and strategic initiatives across the organization
- Analyze complex issues, develop recommendations, and influence decision-making
- Mentor and support colleagues by sharing expertise and best practices
- Anticipate business and customer needs and identify opportunities to enhance program performance and service delivery
- Support resource planning, operational effectiveness, and achievement of program goals
Skills
- • Independently Licensed Master's degree in Psychology, Social Work, Counseling, Marriage and Family Therapy, or related behavioral health field; Licensed Ph.D.; or Board Certified Behavior Analyst (BCBA)
- • 2+ years of experience with ASD or Applied Behavior Analysis (ABA) in a managed care or clinical/program setting
- • Experience supporting provider engagement, quality improvement, care coordination, utilization management, or program operations related to ASD / ABA
- • Experience leading projects, mentoring others, and collaborating across teams
- • Demonstrated ability to analyze clinical, provider, or operational information and recommend improvements
- • Proficient in Microsoft Office and other standard business applications
- • Ability to function independently and responsibly with minimal supervision while managing competing priorities
- • Dedicated, distraction free home workspace with reliable high-speed internet
- • Reside in Indiana
- If you live in Indiana, you'll enjoy the flexibility to work remotely \• as you take on some tough challenges. Residency in Indiana is required
- • Experience in Medicaid, managed care, health plan operations, provider network management, or behavioral health operations
- • Experience working with individuals with ASD and their families
- • Experience with provider quality monitoring, network performance, access management, value-based care, or fraud, waste, and abuse oversight
- • Experience developing provider training, implementing programs, or leading process improvement initiatives
- • Experience coordinating across medical, behavioral health, educational, community, and social support systems to improve member and family outcomes
- • Knowledge of ABA service delivery and ASD treatment pathways
- • Knowledge of medical necessity criteria, prior authorization, and provider documentation standards
Benefits
- Flexibility to work remotely
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Career development opportunities
Company Overview
Company H1B Sponsorship