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Director of Behavioral Health & Substance Use Disorder Programs, South San Francisco, CA


Health Plan of San Mateo

Director

South San Francisco, CA

July 31, 2017


DIRECTOR OF BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER PROGRAMS

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Director of Behavior Health to perform the following essential duties & responsibilities:

  • Assess overall program performance and initiate continuous improvements in services and outcomes that achieve Medicare Five Star, HEDIS, and NCQA outcomes/accreditation.
  • Develop and implement key strategies to advance HPSM’s effort to achieve high performance in behavioral health and integrated care that align with the enterprise mission/vision.
  • Financial management of resources and key contracts to impact program contributions and clinical outcomes.
  • Analysis of data to support development of cost-effective strategies to help HPSM achieve improved overall health outcomes through targeted behavioral health and substance use disorder service interventions.
  • Management and oversight of key delegated relationships with BHRS and the autism benefits administrator by monitoring the following: Utilization management, Care coordination, Quality, Claims administration, Customer service, Network management and Compliance with Medicare and Medicaid regulations and contracts.
  • Develop and promote relationships and partnerships within the community and behavioral health profession.
  • Maintain effective direct and matrix reporting relationships within HPSM, BHRS and other key relationships.
  • Contribute to the ongoing development and integration of the HPSM’s Model of Care.
  • Direct and provide enhancements to business processes, policies, and infrastructure to improve operational efficiency.
  • Serve as a liaison or subject matter expert with regulatory (DHCS, CMS, DMHC, etc) and accrediting agencies.
  • Maintain awareness and knowledge of national affairs, policies and legislation related to behavioral health and substance use disorders as appropriate to HPSM’s accountabilities.
  • Act to promote member centric programming and achieve high level of member satisfaction.

Requirements:

Education and Experience:

  • Master’s Degree in the field of behavioral health, nursing, social work or a related human service field.
  • Clinical behavioral health license required.
  • Five (5) or more years of management level experience in health care preferably leading major clinical programs.
  • Four (4) years of clinical practice experience.

Knowledge of:

  • Principles and operation of managed care, specifically related to health plan operations.
  • Personal Computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel and PowerPoint.

Ability to:

  • Effectively utilize clinical data, database management, data analysis and reporting
  • Lead programs and processes through team facilitation, project management, and change management
  • Work with physician/provider relationships in a leadership position
  • Work as part of a team and support team decisions.
  • Communicate effectively, both verbally and in writing.
  • Adapt to changes in requirements/priorities for daily and specialized tasks.

Compensation & Benefits

Starting Compensation Range: - $120,000/ to $157,000. Annually - depending on experience

Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s Medical, Dental and Vision coverage. Employee pays a small portion of the dependent premiums (5%) for medical and dental benefits. Additional HPSM benefits include fully paid life, AD&D, STD, and LTD insurance; retirement plan (HPSM contributes equivalent of 10% of annual compensation); holiday and vacation pay; tuition reimbursement plan; onsite fitness center and more. Check out our full benefits package at: https://www.hpsm.org/abouthpsm/employment-opportunities.aspx (Under Employee Benefits Tab)

Application Process: To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via email: careers@hpsm.org or via fax: (650) 616-8039. File by: Continuous until filled. EOE


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