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Omega logo

Manager Behavioral Health Strategy & Operations

Omega
Posted 2 weeks ago
🇺🇸United States🏠Remote📁Healthcare/Clinical
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Define and maintain the standard service delivery models for all BH sub-segments, ensuring they align with current market dynamics and payer trends. Lead the functional design of BH outsourcing and consulting engagements, ensuring that proposed solutions are operationally viable and clinically compliant. Act as the lead SME for strategic pitches and RFP responses, defining the value proposition and ROI models for prospective clients. Develop and govern the "Master Playbook" for BH operations, including standardized clinical workflows, documentation requirements, and quality benchmarks. Design functional standards for BH-specific revenue cycle challenges, including prior authorization protocols and reimbursement logic for multi-state mandates. Establish the KPIs and clinical metrics used across the organization to monitor the "health" of behavioral health engagements. Advise on and approve the functional requirements for BH platforms (EHR, Telehealth, AI-tools), ensuring technology enables rather than hinders clinical workflows. Lead cross-functional initiatives to integrate virtual-first care models and patient engagement automation into existing delivery structures. Lead "Train-the-Trainer" initiatives to scale BH expertise across delivery teams; serve as the final authority on complex regulatory questions (e.g., parity laws, HIPAA). Curate and produce organizational white papers and presentations to establish the firm as a premier authority in the BH space. Key Success Indicators/Attributes Strong analytical, critical thinking, and problem-solving capabilities. Ability to collect, research, and synthesize complex and diverse information. Excellent written, verbal and presentation skills. Ability to build and maintain trust-based relationships with internal and external stakeholders. Strong customer service orientation with a professional demeanor. Demonstrated leadership and mentoring capabilities. Able to prioritize and multi-task effectively in a complex, fast-paced environment. Self-motivated with the ability to set goals, meet deadlines, and lead cross-functional initiatives. Positive, adaptable, and able to support team decisions and organizational goals. Supervisory Responsibility None. Work Environment This job operates in a remote home office environment . This role routinely uses standard office equipment such as computers and phones . Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus . Position Type/Expected Hours of Work This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work. Travel Minimal travel up to 5%. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned. 12 – 15+ years in healthcare, with at least 8+ years in a functional leadership or strategic advisory capacity specifically within behavioral health. Expert-level knowledge of the BH continuum: Outpatient, Digital Therapy, Autism Services, SUD, and Eating Disorders. Proven experience designing and implementing operational frameworks, RCM workflows, or clinical programs from the ground up. Demonstrated success in bridge roles, successfully navigating between sales, technology, and clinical operations. Deep familiarity with BH EHRs and the ability to define functional requirements for digital health tools. Preferred Education and Experience Master’s degree in healthcare administration, business, or a clinical field (LCSW, LPC, RN) is highly preferred. PMP (project management) or Lean Six Sigma (Process Improvement) is a plus..

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