About Us:
Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.
About the role:
The Behavioral Health Program Manager is responsible for the oversight of behavioral health programs, services, and utilization of the members of Santa Clara Family Health Plan (SCFHP). The Program Manager is responsible for developing work plans, gap analyses, survey readiness, and facilitating stakeholder collaboration for all projects assigned, including ongoing program planning and work stream facilitation. The Behavioral Health Program Manager works collaboratively and cross-functionally with internal and external stakeholders, including Federal and State regulators, County providers, health care providers, vendors, and consultants to lead the delivery of behavioral health services and contribute to the ongoing improvement of our care management system.
Day to Day:
1. Manage all aspects of engagement with SCFHP behavioral health providers and stakeholders, including Santa Clara County Mental Health Plan, conducting stakeholder meetings, drafting regular written communications, and developing and implementing policies and procedures that align with SCFHP services.
2. Lead and facilitate Behavioral Health Services by providing direction for project framing, organization, business case analysis, implementation, and outcome/success measurements. Provide all required reports to the appropriate regulatory bodies and internally to SCFHP.
3. Complete all program readiness documentation and submit in a timely manner.
4. Develop and implement training for internal and external stakeholders.
6. Provide strong oversight and regular auditing and monitoring activities to ensure care management guidelines are followed.
7. Work with internal departments to ensure goals are met.
8. Develop and maintain all appropriate Behavioral Health documentation, including timelines, project scope, decision logs and work plans, including the development of process documents such as process maps, workflows, and desktop procedures.
9. Monitor timeliness of projects and resource usage to ensure completion and implementation of projects.
10. Identify, research, and resolve project issues and escalate critical issues, problems, and delays to Behavioral Health Management, as needed.
About You:
- Bachelor’s Degree in Management, Business, Healthcare, Public Health, or related field.
- Master’s Degree in Business, Health Care, Public Health is desired.
- Demonstrated knowledge of Medi-Cal benefits, Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulations.
- Knowledge of local health care community including medical, housing, behavioral health, and social services.
- Superior communication skills and ability to effectively facilitate meetings and deliver information/presentations.
- Minimum two years of experience managing, implementing and directing programs impacting low income or vulnerable members of the community.
- Strong organizational skills; able to adapt to changing environment, work independently, and manage multi-task responsibilities.
- Ability to work with a high level of independence with strong collaboration and relationship management skills.
- Strong analytical and problem solving abilities.
Please review the full job description on our Career’s page:
https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=2920
Job Type: Full-time
Pay: $104,280.00 - $161,634.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
Application Question(s):
- Do you have a minimum two years of experience managing, implementing and directing programs impacting low income or vulnerable members of the community?
- Do you have demonstrated knowledge of Medi-Cal benefits, Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulations?
- Do you have knowledge of local health care community including medical, housing, behavioral health, and social services?
Education:
Work Location: In person