Behavioral Health Program Manager

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

Remote position - must reside in California.

What You Will Be Doing:

The role of Behavioral Health Program Manager includes implementation of cross-departmental governance, controls, operational, quality and delegate performance as well as compliance oversight. Will execute on strategies to enhance operational performance and oversight, drive achievement on Behavioral Health Quality interventions, lead compliance activities for new and existing mandates, and deliver on statewide Behavioral Health Programs and initiatives. Work is varied and complex and requires a moderate to high degree of professional communication and project management skills.

Our Vision:

Continuously improve the health of our community.

Our Mission:

We provide healthcare value and advance wellness through community partnerships.

Essential Functions:

• Drive performance improvement initiatives for Medi-Cal (accountability set, All-plan letters, and CalAIM), NCQA, including HEDIS), and any other CMS related Behavioral Health Quality Measures.
• Operate at a strategic business level to ensure projects/programs are in line with the plan’s strategic goals.
• Consult with all levels including senior management, make recommendations, and influence decision-making.
• Leverage cross-functional internal and external relationships to drive initiatives forward.
• Plan and implement multiple and extremely complex projects/programs spanning across business areas.
• Determine key business issues, develop effective action plans, and implement projects to successful conclusion.
• Develop and Manage Policies and Procedures.
• Develop member and provider experience improvement initiatives and collaborate on the development of provider and member communications, manuals and external facing webpages, media, and trainings.
• Lead compliance with mandates and regulatory requirements.
• Manage and present large, complex data sets in easy-to-consume displays for committee reports and executive communications.

What You Bring:

Knowledge, Skills, Abilities and Competencies

Required

• Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines.
• Strong interpersonal skills – interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
• Strong written and oral communication skills, with the ability to communicate professionally to diverse individuals inside and outside of HPSJ, effectively explain complex information and document according to standards.
• Strong knowledge of and proficient skills in administering protocols.
• Ability to read, interpret and apply complex written regulations, guidelines, and other materials; ability to read and interpret basic clinical information.
• Strong analytical and assessment skills.
• Strong problem-solving skills.
• Produces work that is accurate and complete.
• Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
• Ability to work independently and as part of a team.
• Time management and organizational skills. Uses time effectively and efficiently. values time. Concentrates efforts on the more important priorities. Can attend a broader range of activities and meet deadlines.
• Strong Microsoft Office suite technical skills and abilities (Word, Excel, PowerPoint, SharePoint, etc.)
• Ability to handle confidential information with appropriate discretion.

What You Have:

Education and Experience

Required

• Bachelor’s degree or equivalent experience.
• At least 10 years of prior relevant experience.
• Significant experience in Medi-Cal and/or Medicare.
• Knowledge of Quality measures and quality performance requirements, i.e., NCQA and HEDIS.
• Exceptional data display and presentation skills.
• Excellent communication, presentation, and interpersonal skills.
• Ability to maintain and expand knowledge and be easy to work with.
• Consistent modeling of leadership behavior/values in the industry/workplace are essential.

Preferred

• Master’s degree in Public Health, Social Work, Mental Health, Healthcare administration or similar field strongly preferred.
• Deep knowledge of CMS, DMHC, DHCS and NCQA accreditation requirements preferred.
• Media Training is a plus.

Licenses, Certifications

Preferred

• Project Management Certification
• Current and unrestricted license as a Clinical Psychologist, Registered Nurse, Licensed Clinical Social Worker, Marriage and Family Therapist, Licensed Professional Clinical Counselor issued by the State of California

What You Will Get:

HPSJ Perks:

• Competitive salary
• Robust and affordable health/dental/vision with choices in providers
• Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
• CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
• Two flexible spending accounts (FSAs)
• Employer-Paid Term Life and AD&D Insurance
• Employer-Paid Disability Insurance
• Employer-Paid Life Assistance Program
• Health Advocacy
• Supplemental medical, legal, identity theft protection
• Access to exclusive discount mall
• Education and training reimbursement in addition to employer-paid elective learning courses.
• A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
• A shorter commute ­– if you’re commuting from the Central Valley to the Bay Area.
• Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.

We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.

HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics, or is associated with anyone who has or is perceived to have these characteristics.

Important Notice: This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.