BH Vendor Relations Manager - Hybrid

Fallon Health•Worcester, MA

48d•$100,000 - $115,000•Hybrid

About The Position

The Behavioral Health Vendor Relations Manager serves as the primary liaison between Fallon Health and its contracted behavioral health vendor. This role ensures seamless contract execution, operational excellence, and financial oversight across all lines of business. The Manager drives strategic partnerships, leads cross-functional initiatives, and promotes behavioral health integration to improve member outcomes and vendor performance.

Requirements

Bachelor's degree required.
Minimum 3 years in a managerial role overseeing programs, vendors, or operations, preferably in managed healthcare or public sector programs.
Knowledge of Medicare and Medicaid reimbursement, behavioral health coding and billing, and state contracts.
Familiarity with the continuum of care for SUD and BH services in Massachusetts.
Strong analytical, strategic thinking, and problem-solving skills.
Excellent communication skills (verbal, written, electronic).
Proficiency in Microsoft Word, Excel, PowerPoint, Project, Planner, and other MS Office tools.

Nice To Haves

Master's degree in Healthcare Administration, MBA, MPP, MPH or similar preferred, but not required.
License or Certification in behavioral health (e.g., CADC), or as a behavioral health professional (e.g., LMHC, LCSW, LICSW, LADC etc.) is preferred.
Valid Massachusetts Driver’s License.
Experience with behavioral health integration, alternative payment models, and innovative care delivery strategies.

Responsibilities

Lead weekly vendor account meetings to address operational needs and resolve issues.
Manage behavioral health provider contracts and maintain accurate documentation.
Develop and maintain vendor scorecards and performance metrics.
Identify and implement process improvements for vendor management.
Escalate and troubleshoot vendor-related issues promptly
Manage and oversee the reporting package provided by the behavioral health vendor, ensuring timely and accurate submission of all required reports.
Monitor and verify that the vendor consistently meets all compliance, regulatory, and contractual obligations as outlined in agreements.
Collaborate with the vendor and organizational leadership to proactively identify areas of concern or non-compliance, and address these through structured discussions during weekly account meetings.
Lead weekly vendor account meetings to address operational needs, resolve issues, and review reporting outcomes.
Develop and maintain vendor scorecards and performance metrics, using data from reporting packages to drive accountability and performance improvements.
Identify and implement process improvements for vendor management, with a focus on compliance and reporting accuracy.
Escalate and troubleshoot vendor-related issues promptly, ensuring transparency and alignment with organizational standards.
Serve as department lead on cross-functional teams and subcommittees.
Coordinate with internal departments (Care Services, Claims, Credentialing, IT, Finance).Promote behavioral health integration across Fallon Health and partner organizations.
Communicate vendor updates and coordinate solutions across teams.
Troubleshoot financial issues related to vendor and provider contracts.
Collaborate with vendors to strengthen strategic partnerships with behavioral health providers.