Manager Behavioral Health Strategy & Operations

Omega

22h•Remote

About The Position

Define and maintain the standard service delivery models for all BH sub-segments, ensuring they align with current market dynamics and payer trends. Lead the functional design of BH outsourcing and consulting engagements, ensuring that proposed solutions are operationally viable and clinically compliant. Act as the lead SME for strategic pitches and RFP responses, defining the value proposition and ROI models for prospective clients. Develop and govern the "Master Playbook" for BH operations, including standardized clinical workflows, documentation requirements, and quality benchmarks. Design functional standards for BH-specific revenue cycle challenges, including prior authorization protocols and reimbursement logic for multi-state mandates. Establish the KPIs and clinical metrics used across the organization to monitor the "health" of behavioral health engagements. Advise on and approve the functional requirements for BH platforms (EHR, Telehealth, AI-tools), ensuring technology enables rather than hinders clinical workflows. Lead cross-functional initiatives to integrate virtual-first care models and patient engagement automation into existing delivery structures. Lead "Train-the-Trainer" initiatives to scale BH expertise across delivery teams; serve as the final authority on complex regulatory questions (e.g., parity laws, HIPAA). Curate and produce organizational white papers and presentations to establish the firm as a premier authority in the BH space.

Requirements

Strong analytical, critical thinking, and problem-solving capabilities.
Ability to collect, research, and synthesize complex and diverse information.
Excellent written, verbal and presentation skills.
Ability to build and maintain trust-based relationships with internal and external stakeholders.
Strong customer service orientation with a professional demeanor.
Demonstrated leadership and mentoring capabilities.
Able to prioritize and multi-task effectively in a complex, fast-paced environment.
Self-motivated with the ability to set goals, meet deadlines, and lead cross-functional initiatives.
Positive, adaptable, and able to support team decisions and organizational goals.

Responsibilities

Define and maintain the standard service delivery models for all BH sub-segments, ensuring they align with current market dynamics and payer trends.
Lead the functional design of BH outsourcing and consulting engagements, ensuring that proposed solutions are operationally viable and clinically compliant.
Act as the lead SME for strategic pitches and RFP responses, defining the value proposition and ROI models for prospective clients.
Develop and govern the "Master Playbook" for BH operations, including standardized clinical workflows, documentation requirements, and quality benchmarks.
Design functional standards for BH-specific revenue cycle challenges, including prior authorization protocols and reimbursement logic for multi-state mandates.
Establish the KPIs and clinical metrics used across the organization to monitor the "health" of behavioral health engagements.
Advise on and approve the functional requirements for BH platforms (EHR, Telehealth, AI-tools), ensuring technology enables rather than hinders clinical workflows.
Lead cross-functional initiatives to integrate virtual-first care models and patient engagement automation into existing delivery structures.
Lead "Train-the-Trainer" initiatives to scale BH expertise across delivery teams; serve as the final authority on complex regulatory questions (e.g., parity laws, HIPAA).
Curate and produce organizational white papers and presentations to establish the firm as a premier authority in the BH space.