About The Position

San Mateo County Health is seeking an experienced and dynamic professional to serve as Mental Health Program Specialist- Evidence-Based Practices & Revenue Optimization within the Behavioral Health and Recovery Services (BHRS) division, supporting implementation of the Behavioral Health Services Act (BHSA) and advancing system-wide transformation efforts. This full-time, permanent position will play a key role in strengthening behavioral health infrastructure, ensuring regulatory alignment, optimizing Medi-Cal revenue systems, and advancing evidence-based practice implementation across BHRS. Since 2006, BHRS has been committed to building a welcoming, recovery-oriented, trauma-informed, and culturally responsive system of care that addresses the full spectrum of client health needs, including physical, emotional, behavioral, and social well-being. Recent state legislation, regulatory changes, and local innovation efforts have reshaped the behavioral health landscape. The position will help ensure BHRS remains responsive, compliant, and forward-thinking in this evolving environment.

Requirements

  • California license as one of the following: 1) Clinical Social Worker; 2) Marriage and Family Therapist; or 3) Clinical Psychologist
  • Three years of experience as a Mental Health professional.
  • Knowledge of Principles, techniques and practices of program management and delivery
  • Knowledge of Principles and practices of employee supervision and training
  • Knowledge of Applicable federal, state and local laws and regulations and County policies and guidelines
  • Knowledge of Individual, group and family psychodynamics
  • Knowledge of Psychological diagnostic methods and terminology
  • Knowledge of Current principles and practices of psychiatric casework
  • Knowledge of Human and health services systems in the County including private agencies and other community resources
  • Knowledge of Various methods used in individual and group therapies such as role playing, play, art and milieu
  • Knowledge of Methods and techniques used in mental health education
  • Ability to Plan, assign, supervise, review and evaluate the work of interdisciplinary subordinates
  • Ability to Train staff in work procedures and provide technical and programmatic assistance to staff and subcontractors
  • Ability to Analyze, interpret and apply various regulations, requirements and/or clinical approaches
  • Ability to Prepare grant proposals and written reports
  • Ability to Set realistic treatment goals and facilitate their attainment
  • Ability to Evaluate patients/clients’ degree of mental disability or emotional distress
  • Ability to Communicate effectively in writing and orally and make public presentations as needed
  • Ability to Establish and cooperative relationships with those contacted in the course of the work
  • Ability to Exercise sound independent judgment within general policy and regulatory guidelines

Nice To Haves

  • Knowledge of Medi-Cal billing, managed care contracting, and behavioral health patient care revenue systems.
  • Demonstrated ability to analyze data and develop system-level recommendations for operational improvements.
  • Knowledge of BHSA, BH-CONNECT, California Advancing and Innovating Medi-Cal (CalAIM), and other State initiatives impacting Medi-Cal reimbursement and documentation standards.
  • Experience with implementation, readiness assessment, and fidelity monitoring of evidence-based practices (EBPs).
  • Strong facilitation skills to convene multidisciplinary stakeholders, including leadership, clinical teams, and external partners.
  • Commitment to quality assurance, audit readiness, and continuous improvement in public behavioral health systems.

Responsibilities

  • Lead Medi-Cal billing and revenue cycle improvement initiatives.
  • Oversee initiatives focused on developing certification and billing infrastructure for contracted community-based providers.
  • Coordinate agency-wide requirements for implementation and fidelity monitoring of Evidence-Based Practices (EBPs).
  • Support implementation of Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) and other EBP and Medi-Cal billing-related initiatives.
  • Advise leadership on relevant policy changes to support strategic planning and sustainable, high-quality service delivery.
  • Serve as BHRS subject matter expert on Medi-Cal billing, reimbursement regulations, and revenue optimization strategies.
  • Lead patient care revenue maximization initiatives focused on improving billing accuracy and maximizing allowable Medi-Cal reimbursement.
  • Oversee initiatives focused on developing and implementing streamlined billing infrastructure for community-based organizations to optimize Medi-Cal-eligible services, peer supports, and community-defined evidence practices (CDEPs).
  • Facilitate an Evidence-Based Practice (EBP) Committee to support EBP selection, review, and policy and procedure development.
  • Work collaboratively with BHRS Program Managers and Quality Management team to ensure EBP implementation to fidelity in compliance with state and federal guidelines.
  • Review EBP revenue generation, utilization and other relevant data and make recommendations for adjustments as necessary to optimize billing, cost recovery, and compliance.
  • Prepare actionable reports, briefs, and presentations to inform executive leadership strategic planning and decision-making.

Benefits

  • This is an opportunity to contribute to meaningful, system-level transformation in public behavioral health.
  • This role directly supports BHSA implementation, integrated care advancement, fiscal sustainability, and equitable access to high-quality services for diverse communities across San Mateo County.
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