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Manager, Behavioral Health, San Francisco, CA


Organization: San Francisco Health Plan
Category: Behavioral Health Professional
Location: San Francisco, CA
Date Job Posted: June 7, 2022
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Manager, Behavioral Health

Department: Health Services Administration
Office: HQ Beale Street
Location: San Francisco, CA

You can improve the wellbeing of San Francisco's most vulnerable population.

Reporting to the Vice President of Health Services Programs, the Manager of Behavioral Health manages the administrative aspects of all delegated and carved out behavioral health and substance use programs at the San Francisco Health Plan (SFHP).

You will be the primary clinical liaison to both vendors and internal departments. You will provide oversight and maintain relationships with vendor services.

WHAT YOU WILL DO:

  • Manage the Beacon contract and overall relationship: develop contract goals, monitor performance in quality, utilization management, and credentialing against goals and ensures successful completion.
  • Build and maintain a relationship with County Behavioral Health Services (BHS), including the Treatment Access Program (TAP).
  • Analyze substance treatment policy trends as relevant to SFHP members; update team on relevant developments. Ensure compliance with all regulatory and contract requirements in accordance with DHCS and DMHC.
  • Develop and maintain behavioral health and substance treatment policies and procedures.
  • Establish relationships and engage with behavioral health providers and ensure measurable improvements in clinical and quality outcomes for members
  • Participate in behavioral health audit preparation and sessions for DHCS, DMHC, and NCQA audits.
  • Perform annual oversight audit of behavioral health vendors and delegated providers and review delegates' corrective action plans.

WHAT YOU WILL BRING:

  • Requires Masters or above in Behavioral Health field and minimum of 10 years of progressively responsible professional experience in healthcare which includes 5 years experience in a behavioral health as a provider or payor and Medi-Cal managed care; and a combination of education and experience, which would provide an equivalent background
  • Current and unrestricted license such as RN, LCSW, LMFT, LMHC, LPC, or Licensed Psychologist (as allowed by California is required)
  • Five years progressive management experience

BENEFITS:

  • Retirement: CalPERS Pension Plan, CalPERS 457 Supplemental Income Plan and a 401(a) defined benefit plan.
  • Medical Plan: Choice of Aetna HMO, Sutter/Aetna OAMC POS, or Kaiser HMO (100% premium paid for HMO employee-only coverage)
  • Dental Plan: The Principal EPO dental coverage with option to cover orthodontia.
  • Time Off: 23 days of Paid Time Off and 12 observed company holidays.
  • Professional development: Opportunities for tuition reimbursement, professional license/membership

San Francisco Health Plan requires employees provide proof of an up-to-date vaccination against COVID-19 as defined by the San Francisco Department of Public Health. Reasonable accommodations will be considered on a case-by-case basis for exemptions to this requirement subject to the applicable law[s].

ABOUT SFHP

Established in 1994, San Francisco Health Plan (SFHP) is an award winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco county. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 170,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. SFHP was designed by and for the residents it serves, and takes great pride in its ability to accommodate a diverse population that includes young adults, seniors, and people with disabilities.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

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