Salary Range: $104,280 - $161,634
The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change.

FLSA Status:Exempt

Department:Health Services

Reports To:Manager, Behavioral Health

GENERAL DESCRIPTION OF POSITION
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.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily.

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.

11. Conduct studies of operations, workflows, and fact gathering sessions with stakeholders to document, quantify, and specify process improvement efforts. Work with internal stakeholders and business leaders to identify the gap between current and desired results.

12. Develop and distribute timely project communications and status updates.

13. Participate in meetings and conference calls with regulatory agencies (i.e. Federal, State and County), NCQA, SCFHP management, delegates and vendors to obtain and capture requirements and timelines.

14. Perform other related duties as required or assigned.

REQUIREMENTS- Required (R) Desired (D)
The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.

1. Bachelor's Degree in Management, Business, Healthcare, Public Health, or related field. (R)
2. Master's Degree in Business, Health Care, Public Health (D)
3. Demonstrated knowledge of Medi-Cal benefits, Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulations. (R)
4. Knowledge of local health care community including medical, housing, behavioral health, and social services. (D)
5. Superior communication skills and ability to effectively facilitate meetings and deliver information/presentations. (R)
6. Minimum two years of experience managing, implementing and directing programs impacting low income or vulnerable members of the community. (R)
7. Strong organizational skills; able to adapt to changing environment, work independently, and manage multi-task responsibilities. (R)
8. Ability to work with a high level of independence with strong collaboration and relationship management skills. (R)
9. Strong analytical and problem solving abilities. (R)
10. Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as such as MS Word, Excel, Power Point, Visio, Project and Outlook. (R)
11. Ability to use a keyboard with moderate speed and a high level of accuracy. (R)
12. Ability to express oneself clearly and concisely when interacting with internal and external stakeholders over the telephone, in person or in writing. (R)
13. Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R)
14. Ability to assume responsibility and exercise good judgment when making decisions within scope of the position. (R)
15. Ability to maintain confidentiality. (R)
16. Ability to comply with all SCFHP policies and procedures. (R)
17. Ability to perform the job safely and with respect to others, to property and to individual safety. (R)

PHYSICAL REQUIREMENTS
Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation:

1. Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R)
2. Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R)
3. Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R)
4. Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R)
5. Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R)
6. Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R)

ENVIRONMENTAL CONDITIONS
General office conditions. May be exposed to moderate noise levels.

EOE