Job Description
Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position Summary The clinical liaison is responsible for promoting a robust culture among Moda’s contracted Behavioral Health (BH) providers that embraces evidence-based outcome-informed care (OIC). This position encourages providers to adopt value-based contracts with Moda and provide OIC to Moda’s members; and provides education, clinical consultation and technical assistance to providers regarding the use of OIC. Serves as point person for relationship with OIC vendor(s).
This is a full-time hybrid position based in Portland, Oregon .
Pay Range $77,364.14 - $96,705.18 annually.
Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
Benefits : - Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Required Skills, Experience & Education:
- Active Oregon license as a behavioral health practitioner.
- At least three years recent clinical experience utilizing outcome-informed care.
- At least two years recent experience coaching, consulting, or supervising other clinicians in use of OIC.
- Strong grounding in the empirical research related to OIC.
- Ability to convey enthusiasm and belief in the value of OIC.
- Excellent written and verbal communication skills.
- Excellent organizational skills.
- Ability to conceptualize and analyze issues from clinical, systems, and strategic perspectives.
- Strong sense of teamwork and ability to work in a self-directed manner.
- Computer proficiency and experience with Microsoft Office applications.
Primary Functions :
- Utilizes knowledge and experience with outcome-informed care to promote adoption of OIC among Moda’s contracted behavioral health providers.
- Assists BH Director in developing and refining Moda’s strategy:
- for BH provider engagement;
- for use of OIC in improving quality of care.
- Provides education, consultation, and technical assistance to providers regarding OIC.
- Addresses provider concerns regarding Moda’s reasons for promoting OIC and use of data related to OIC.
- Generates interest and motivation among providers for value-based contracting.
- Provides feedback, coaching and technical assistance to providers regarding their performance on value-based metrics.
- Develops a thorough knowledge of the OIC platform(s) adopted by Moda Health; shares knowledge with Moda providers and staff.
- Coordinates with Moda-selected OIC vendor regarding:
- provider engagement and use of platform;
- data exchange with Moda;
- use of vendor’s platform.
- Facilitates and coordinates collaborative efforts with multiple vendors and contracted behavioral health providers.
- Coordinates and consults with Moda BH care coordinators, case managers and champions regarding use of OIC platform and interactions with members and providers related to the platform.
- Co-facilitates BH Provider Advisory Council.
- Coordinates efforts to generate member input into Moda’s BH program.
- Identifies, assesses, and recommends opportunities for process and workflow improvements related to Moda’s OIC strategy.
- Coordinates with Contracting and Provider Relations teams regarding contracting issues for behavioral health providers.
- Exercises judgment, initiative, and discretion in confidential and sensitive matters.
- Promotes Moda Behavioral Health program within the community.
- Maintains and always assures client confidentiality.
- Performs other duties as assigned.
Working Conditions & Contact with Others - Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need. May include some travel for meetings with providers.
- Internally with Behavioral Health, Care 360, Claims, Customer Service, HealthCare Services, Information Technology, Analytics, Sales and Account Services, Government Programs, and Contracting/Provider Relations. Externally with vendors, providers, members, and office staff.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler via our humanresources@modahealth.com email.
Job Tags
Full time, Work at office, Holiday work, Afternoon shift,