Jim Kaufman, MSW, LICSW, is a behavioral healthcare executive with more than 35 years of clinical experience and 30 years of leadership in behavioral health managed care. With academic backgrounds in industrial and organizational psychology and clinical social work, Jim brings a multidisciplinary perspective to the challenge of improving care delivery, outcomes, and value.
His experience includes leading national teams and programs in utilization management, clinical case management, and aggregate data management, as well as advancing value based alternative payment models and other innovative approaches to care delivery. He has worked across Medicaid, Medicare, commercial, and dually eligible populations, with a focus on translating clinical insight, data, and payer strategy into programs that better support members and the systems that serve them.
Jim’s work reflects a longstanding interest in how payers can move beyond traditional managed care approaches to enable more integrated, outcomes-focused, and value-based models of behavioral healthcare.