Healthcare Technology Consulting - Behavioral Health Lead

Guidehouse•Boston, MA

4d•$130,000 - $216,000

About The Position

Guidehouse’s Health IT Solutions team works with clients to measurably improve their technology outcomes through a mix of IT strategies, improvement in IT operations, and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data, Guidehouse propels IT operational improvement and technology adoption across departments and service lines at client organizations. What You Will Do : The Technical Behavioral Health Lead will oversee the design, configuration, validation, and deployment of a EHR solution behavioral health modules across the health system for Federal and State clients. This role requires deep expertise in behavioral health workflows, public sector care delivery, and billing practices including long-term stays, trust accounts, and service authorization. The Lead will serve as the primary liaison between the client and clinical leadership, vendors, and stakeholders, ensuring the solution meets the client's complex clinical, regulatory, and operational requirements.

Requirements

Bachelors Degree
Minimum 5 years of experience in behavioral health operations leadership roles
Proven experience implementing Oracle Health PowerChart and RevElate in behavioral health settings
Deep understanding of State behavioral health workflows, including inpatient, outpatient, and community services
Experience with trust account management, long-stay billing, and service authorization processes
Familiarity with Medicaid, Medicare Part D, and state-specific billing systems
Strong knowledge of behavioral health documentation standards and regulatory compliance
HFMA certification or equivalent credential
Excellent communication, stakeholder engagement, and documentation skills

Nice To Haves

Experience with federal/state EHR implementation projects
Familiarity with Oracle Health Data Intelligence (formerly HealtheIntent) for behavioral health analytics and reporting
Experience with behavioral health and long-term care billing workflows, including 42 CFR Part 2 compliance
Experience managing behavioral health transformation in multi-entity, multi-payer environments

Responsibilities

Behavioral Health Workflow Design Lead the functional design and configuration of Oracle Health PowerChart and related modules to support inpatient, outpatient, and community behavioral health services
Develop workflows for psychiatric evaluations, crisis intervention, care coordination, and rehabilitation planning
Configure documentation templates for behavioral health assessments, treatment plans, and progress notes aligned with State/Federal standards
Ensure compliance with 42 CFR Part 2, HIPAA, and State-specific privacy regulations
Collaborate with clinical teams to design workflows for forensic services, diversionary programs, and justice-involved populations
Support integration of behavioral health services with acute care, pharmacy, and long-term care modules
Billing and Financial Operations Translate DMH and DPH-specific billing needs into system requirements, including:
Long-stay inpatient billing cycles and interim claims
Resident trust account workflows, including deposits, withdrawals, and reconciliation
Vendor-submitted claims for community services and integration with the EIM system
Service authorization workflows and capacity management
Integration with state applications for financial tracking and reporting
Ensure alignment with Oracle Health RevElate for behavioral health billing and reimbursement
Collaborate with Revenue Cycle and Finance teams to validate charge capture, claims generation, and remittance posting
Testing and Validation Lead parallel testing of behavioral health workflows and billing processes, reconciling results with legacy systems
Validate clinical documentation, service authorization, and billing compliance across inpatient and community settings
Ensure readiness for day-one operations, including continuity of care and financial integrity
Collaborate with Testing Lead and Data Migration Lead to validate behavioral health data accuracy and integrity
Serve as the primary point of contact for behavioral health stakeholders, clinical leadership, program managers, and community service providers.
Participate in Change Control Board (CCB) and Steering Committee meetings to evaluate clinical and financial impacts of scope changes
Provide executive-level reporting on behavioral health readiness, risk posture, and performance metrics
Facilitate workshops and design sessions with state agencies to gather requirements and validate workflows
Stakeholder Engagement and Governance Lead the functional design and configuration of EHR solutions and related modules to support inpatient, outpatient, and community behavioral health services
Develop workflows for psychiatric evaluations, crisis intervention, care coordination, and rehabilitation planning
Configure documentation templates for behavioral health assessments, treatment plans, and progress notes aligned with client standards
Ensure compliance with 42 CFR Part 2, HIPAA, and State-specific privacy regulations
Collaborate with clinical teams to design workflows for forensic services, diversionary programs, and justice-involved populations
Support integration of behavioral health services with acute care, pharmacy, and long-term care modules

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend