Julie Lynne Magiera
Senior Director of Behavioral Health Specialty Programs at Centene Corporation
Behavioral health managed care, with senior leadership experience. Current professional focus is business development and clinical strategy development. I am a counselor by trade, with community mental health counseling and supervisory experience, a background of speciality educational settings for children with autism spectrum disorders, and a 7 year history of private practice. In the 12+ years in managed care, my focus has been on behavioral health program development, behavioral health um and cm operations, integrated care case management, clinical training, and program implementation. I have current experience of business development, project planning, clinical program implementation, program building, problem solving, public speaking, training development, conference participation, financial budget and staffing considerations, and other senior leadership responsibilities.
Jan 2020 - Present
Senior Director of Behavioral Health Specialty Programs
Aug 2019 - Jan 2020
Senior Director of Program Development and Implementation
Aug 2014 - Jan 2020
Senior Director Business Development and Implementations
Continued all responsibilities of previous role 5 Years tenure includes: Implementation and oversight of 29 implementations; Proposal Development behavioral health subject matter expertise in 37 projects; Expansion of the Clinical Implementation Team from one Clinical Implementation Manager to a comprehensive team of Sr Director, Director, 4 Clinical Implementation Managers, 2 Clinical Implementation Specialist positions, •Business justification, budgetary requests, job descriptions and management, training, supervision for CIM/CIS staff;equitability adjustment documentation; performance management and professional development plans; • Program Implementation of utilization management, case management, provider and clinical training, long term care/behavioral management, and integrate team program and expanded to include speech and occupational therapy and rehabilitation, disease management, and Nurse Advice Line, •Increased strategy and process improvement focus on Business Development Research and RFP design, in addition to the in market business development operations; •Development of Business Development work process, research and tracking management tools; •Product and Programmatic recommendations t based on National and State related trends and service gap analysis for new business, potential business, and current program development; •Development of staffing metrics •Annual Budget development •Committee pariticpation: Utilization Management Committee, Policy and Procedure Committee, and Appplied Beahvioral Change Science Workgroup; •Process Improvement strategies, to inclue the expansion of the Clinical Implementation workbook and project plan, role definition, work process and training document, and clinical initaitve tracking management; Networking and organization linkage to potential partners for: Community partnership National/State Association Partnership, Sponsorship opportunities for Conferences and fundraising activiites
Aug 2014 - Oct 2015
Cenpatico, subsidiary of Centene Corp
Senior Director of Clinical Development and Training
Continued all responsbilities of the Director of Clinical Development and Training; Research, Development and Implementation of Program Descriptions of the Clinical Training Department and Implementation Department; Strategic planning and development of a clinical staff training program, focusing on consistency across the 18 markets ; Oversight and development of a core training program for all clinical staff in the organization Oversight and development of a 3-4 week clinical onboarding training that all new hires in the organization complete upon hire. Oversight and development of an internal training program on Motivational Interviewing Strategic planning and development of a provider training program for the company's network providers, focusing on the utilization of evidence based practice; Oversight and development of a Core Provider Training program for the national organization network of providers, Continued expansion of the Behavioral Management Training program increased from 1 to 3; Expansion of a CEU committee to include inclusion of national CEU approval status for NBCC and increased the number of states the organization held CEU trainer status; Provided Justification and Successfully implemented three evidence based practice train the trainer courses, including Mental Health First Aide, Motivational Interviewing, SBIRT; Increased the quality, number of, and topics to be included in the clinical training library offered to staff and providers; Participated on panel and presentation discussions at conferences and state town halls Performance management and oversight of the team performance reviews; Consultation with project leads on implementation of market initiatives; Perform service Gap analysis for the new business, potential business, and current program development; Team expasnion to a combined team of 1 SR Director, 5 managers, 1 specialst and over 20+ trainers across the nation;
Jul 2008 - Dec 2014
Diane Eden, MD and Associates
Professional Clinical Counselor
Provide outpatient individual, family, and couples counseling for children and adults. Develop treatment plans and clinical documentation.
Apr 2013 - Aug 2014
Cenpatico, subsidiary of Centene Corp
Director of Clinical Development and Training
Oversee the clinical department's role in the business development processes, implementation of the clinical program for new business/expansion business; development and oversight of the staff and provider training programs. Leading the clinical team "on the ground" research and understanding of a States's mental health system across the country with the business development team; Participation as the lead subject matter expert for the business development; Oversight of the conceptualization, development of, and implementation of the clinical program for a new or expansion project, inclusive of the utilization management, case management, and integrate team programs; Co-lead of the clinical "innovations" committee, which focuses on the development of clinical value ads; Strategic planning and development of a clinical staff training program, focusing on consistency across the 15 markets Strategic planning and development of a provider training program for the company's network providers, focusing on the utilization of evidence based practices. .
Sep 2011 - Apr 2013
Cenpatico, national subsidiary of Centene Corp
Clinical Implementation Manager
o September 2011 – April 2013 • Overall Development of the Clinical Implementation role for the company as the first Clinical Implementation Manager for Cenpatico. • Implementation of the behavioral health clinical program for new business/expansion business; involvement with the business development department as a part of the RFP development team for utilization management, care management, disease management and clinical training; • Inclusive of all aspects of an implementation from on site provider meetings and state/Medicaid Implementation Meetings; • Coordination with external deparments including Project Management, Compliance, Quality, Business Development, Medical Management, Call Center, Appeals/Denials, IT and configuration etc • Develop and Implement Policy and Procedure, Work Processes, Training Decuments • Tracking and management of project plan and risk logs • Subject Matter Expertise on Benefit development and primary developer of Medical Necessity Criteria • Increased the role from a single Clinical Implementation Manager to 2 Managers and a Clinical Implementation Specialist within 18 months • Proposed a team development plan to expand the scope from implementation management to internal/external training, development and implementations;
Aug 2009 - Sep 2011
Cenpatico-National subsidiary of Centene Corp
Provided Clinical Supervision to 10 intensive case managment clinicians, in three states; Program managment for the clinical aspects of the managed care organization in the regions of coverage.
Jul 2008 - Aug 2009
Cenpatico- National Subsidiary of Centene Corp
Intensive Case Manager
Community Health plan who were diagnosed with Severe and Persistent Mental Illness, Substance Use, and behavioral symptomology; Participated in a workgroup for the development of the new EHR for Centene Corporation, representing the Cenpatico clinical department
2006 - 2008
Provided clinical oversight to a multidisciplinary team of psychiatrists, counselors, nurse practioners, and case management staff at the Community Mental Health Center. Managed an adult SMD team, including Intensive Case Management, the early stages of a transitional youth program, and adults with psychiatric illness. In addition, assisted in the implementation of an electronic health record system. Coordinated with the management of the organization
2005 - 2007
Administrative Supervisor for the Substance Abuse team
Provided administrative supervision and managment of the administrative and reporting processes for the clinical substance abuse (dual diagnosis) program at the community mental health center.
Apr 2004 - Mar 2005
Diagnostic Assessment Specialist
Conducted diagnostic assessments for the intake department at a community mental health center. This role included assessing, diagnosing, and referrals to the appropriate level of care/program for treatment.
Aug 2001 - Apr 2004
Postive Education Program-Harbor Center
Collaborated with the Clinical Supervisor for an alternative school for chidlren who were diagnosed with an Autistic Disoreder, Mental Retardation/Developmental Delays. Collaborated on the IEP for the children, developed and implmented behavioral modifaction plans, provided group therapy, and participated on the multidisciplinary team for the client's treatment plan.
1999 - 2001
MA, Counseling Psychology
Graduated with honors; comprehensive exam passing with honors
1995 - 1999
BA, Psychology and sociology
Bachelors of Arts in psychology; study abroad; honors program