"Alerted.org

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:

Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute

Annual incentive bonus plan based on company achievement of goals

Time away from work including paid holidays, paid time off and volunteer time off

Professional development courses, mentorship opportunities, and tuition reimbursement program

Paid parental leave and adoption leave with adoption financial assistance

Employee discount program

Job Description Summary:

The Integrated Health Advancement Program Manager leads an integrated behavioral health and health outcome strategy across Blue KC’s Population Health division. The role oversees behavioral health strategies, health outcome initiatives, and systems-level programs that address disparities, strengthen community resilience, and promote whole-person health. This role ensures behavioral health, health outcomes, and whole person care are seamlessly aligned to improve outcomes for members, strengthen community partnerships, and enhance value for providers, vendors, and employer groups. The incumbent acts as a bridge between clinical operations, data analytics, and community impact. The candidate for this position must reside in the Kansas City metropolitan area.

Job Description

+ Develop and execute a unified behavioral health and health outcome strategy that advances Blue KC’s mission to improve the health of our members and communities.

+ Lead cross-functional efforts to embed behavioral health principles into population health management, product design, and beyond

+ Perform as a strategic advisor to internal leaders and external partners to align behavioral health and health outcome objectives with business and community goals

+ Manage behavioral health services, programs, and vendor relationships to ensure compliance with regulatory requirements, performance guarantees, and accreditation standards (e.g., NCQA, CMS).

+ Direct health outcome initiatives addressing systemic barriers to care, disparities in HEDIS and STAR measures, and drivers of social and behavioral health.

+ Oversee the Health Outcome Council, related accreditation work groups, and new pilots integrating behavioral health and community health strategies.

+ Collaborate with analytics teams to measure performance, identify disparities, and evaluate outcomes at population and subpopulation levels.

+ Build and sustain partnerships with providers, community-based organizations, and employer groups to advance integrated care delivery and equitable health outcomes.

+ Represent Blue KC in community and industry settings, driving visibility of behavioral health and health outcome leadership.

+ Partner with contracting, product, and network operations to align provider performance, incentives, and reporting structures with behavioral and health outcome goals.

+ Lead development and delivery of behavioral health and health outcome training programs for internal staff, providers, and community partners.

+ Champion cultural competence, trauma-informed care, and inclusive communication practices across departments.

+ Ensure compliance with all relevant state and federal health outcome and behavioral health regulations.

+ Track and report on key performance indicators related to access, utilization, clinical outcomes, and member experience or other related measures as driven by the business or vendor that improve quality

+ Manage grants and initiatives supporting behavioral health improvement, health outcome innovation, and community partnerships.

Minimum Qualifications

+ Bachelor’s degree in Nursing, Social Work, Public Health, Psychology, or related field required

+ RN, LCSW, or equivalent professional license in MO and KS required.

+ 5+ years of experience in integrated care, managed care, or population health program management.

+ 3+ years of supervisory or leadership experience with multidisciplinary or clinical teams.

+ Prior experience leading behavioral health, health equity, or community impact initiatives for a payer, provider, or public health organization.

Preferred Qualifications

+ Master’s degree in Public Health, Health Administration, Psychology, Social Work, Nursing, or a related discipline.

+ Seven or more years of progressive experience in population health, behavioral health integration, or managed care strategy within a payer or provider organization

+ Prior success leading enterprise-wide initiatives that align behavioral health, health outcomes, and social determinants of health to improve clinical outcomes

+ Experience with value-based care and performance measurement, including design of incentive programs, HEDIS/STAR improvement efforts, and NCQA accreditation or Health Equity Accreditation

+ Proficiency in data analytics and interpretation, with ability to translate complex insights into actionable business and clinical strategies

+ Grant or partnership management experience with community-based organizations, health systems, or government agencies

+ Familiarity with state and federal regulations governing behavioral health, health insurance, and health outcome compliance

+ Strong presentation and communication skills, including experience representing organizational strategy to executive leadership, community stakeholders, and employer groups

+ Change-management and cross-functional leadership expertise, with a proven ability to influence across clinical, operational, and community domains

+ Passion for innovation and systems thinking—demonstrated ability to design scalable, data-driven programs that advance whole-person health and equity

Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

At Blue Cross and Blue Shield of Kansas City (Blue KC), we have long put our members first by developing products and services to meet their needs. From our founding in 1938 to more than 80 years of experience in innovative, patient-centered healthcare coverage, Blue KC continues to keep our members at the center of everything we do. As a market leader, we continue to embrace new ideas to make healthcare more affordable and to improve the customer experience. Come join us!

**Blue Cross and Blue Shield of Kansas City will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully utilize electronic and online job application systems. For assistance, please send an email to** [email protected] .

EOE/Veterans/Disability

Affirmative Action Employer

E-Verify Participation (https://bluekcmemberportal.azureedge.net/pdf/2024/E-Verify\_Participation\_Poster\_Eng\_Es.pdf)

Equal Employment Opportunity/Nondiscrimination/Affirmative Action Policies

IER Right to Work (https://www.e-verify.gov/sites/default/files/everify/posters/IER\_RightToWorkPoster%20Eng\_Es.pdf)

FMLA

Employee Polygraph Protection Act (https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf)