State of Tennessee

Nashville, TN

Government , Health Care

Position Description / Responsibilities

Planning Analyst 5

Division of TennCare - Managed Care Oversight

Nashville, TN

Monthly Salary Starting at: $3,924.00

Salary exceptions may be considered based on the background and experience of the individual applicant.

Closes: 04/27/2021


Behavioral Health Operations is a critical team within the Managed Care Operations department. One key responsibility of this department is to monitor the behavioral health service array within TennCare. This team collaborates with various internal and external stakeholders to ensure members with behavioral health needs are receiving medically necessary care at the appropriate level. Operationally, Behavioral Health Operations works closely with several TennCare departments to participate in the development and execution of a comprehensive quality strategy. Additionally, this team plays a strategic role in TennCare initiatives focused on improving clinical care and outcomes for TennCare members, including primary care transformation and population health. Behavioral Health Operations also works closely with TennCare’s contracted organizations and other state agencies to provide oversight of quality performance and data reporting for TennCare members. Behavioral Health Program Manager The Tennessee Health Link (THL) program is part of TennCare’s primary care transformation initiative. THL is an integrated value-based payment model designed to improve the quality of behavioral health services for TennCare members, the capabilities of and practice standards of behavioral health providers, and the overall value of health care delivered to the TennCare population. The Behavioral Health Program Manager will serve as the lead for the THL program and will lead program implementation and strategy for THL. This position will engage with external stakeholders, including providers, managed care organizations, and other vendors.

Position Requirements

Application Instructions

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