Vice President of Integrated Health Services
About The Position
The Vice President of Integrated Health Services provides strategic, operational, and regulatory leadership for the agency’s medical, behavioral health, and integrated care programs. This executive ensures compliance with Article 31 and 29-I regulations, Medicaid Managed Care requirements, and applicable state and federal standards. The role advances high-quality care, operational excellence, and financial sustainability through oversight of billing, revenue cycle management, and payer relationships. The position reports directly to the Deputy Executive Director/Chief Program Officer and contributes to the agency’s mission and its child, family, and community health services. The VP oversees programs including Medicaid 29-I services, Care Management/Health Homes, and Clinical Support Programs; supervises the Medical Director and Clinical Director; and ensures effective 24/7 crisis response systems. The position also leads integrated health strategy, regulatory compliance, quality improvement, financial stewardship, stakeholder relationships, and service innovation.
Requirements
- Master’s degree or higher in social, human, or health services, or a related field.
- At least 10 years of progressive management experience in clinical, behavioral health, or integrated health settings.
- In-depth knowledge of child and family services, Medicaid-funded programs, and managed care operations.
- Demonstrated experience overseeing Article 31-licensed programs, including compliance, audits, corrective action plans, and quality assurance.
- Strong leadership, communication, and collaboration skills, with the ability to unify teams and drive results.
- Experience in revenue cycle management, billing oversight, and payer reimbursement optimization.
- Ability to build strong partnerships with internal teams, external stakeholders, and regulatory bodies.
Nice To Haves
- Licensed Master Social Worker (LMSW).
Responsibilities
- Serve on the executive leadership council and collaborate with the CEO on agency-wide strategic objectives.
- Set the vision and direction for integrated health services in alignment with the agency’s mission, values, and long-term goals.
- Develop behavioral and medical health programs in response to emerging client needs and evolving healthcare models.
- Act as the agency’s Article 31 regulatory authority and ensure compliance with NYS Office of Mental Health standards.
- Maintain audit readiness, oversee corrective action plans, and ensure compliance with regulatory, licensing, and accreditation requirements.
- Ensure clinical protocols, documentation, and service delivery comply with Medicaid, Article 31, 29-I, CFTSS, and other applicable state and federal regulations.
- Oversee medical, behavioral health, and integrated care programs, including Medicaid 29-I services, Care Management/Health Homes, and Clinical Support Programs.
- Directly supervise the Medical Director and Clinical Director and ensure effective 24/7 crisis response systems.
- Drive continuous quality improvement, efficiency, and accountability across service lines using EHR systems and data-driven decision-making.
- Lead billing and revenue cycle operations, including accurate coding, timely claims submission, denial management, and compliance with Medicaid and Article 31 billing standards.
- Partner with finance to develop and manage integrated health budgets, monitor receivables, and maximize reimbursement across payers.
- Identify and implement strategies to increase revenue, expand service capacity, and strengthen financial sustainability.
- Build and maintain relationships with Medicaid Managed Care organizations, government oversight entities, social service agencies, and professional associations.
- Represent the agency with the NYS Department of Health, NYC Administration for Children’s Services, CCF, COFCCA, and other regulatory or collaborative bodies.
- Engage internal and external partners to support program innovation, compliance, and mission-aligned growth.
- Monitor developments in integrated health delivery, Medicaid Managed Care, 29-I, CFTSS, and relevant legislative or regulatory changes.
- Implement systems, workflows, and performance metrics to improve quality, efficiency, and accountability across integrated health programs.
- Ensure Care Management/Health Homes continues to grow and remains integrated within the agency’s service continuum.
- Perform additional responsibilities within the scope of the role as required to advance the agency’s mission and support organizational excellence.
Benefits
- Paid vacation, sick, personal days, and holidays.
- 403(B) retirement plan with employer contribution.
- Health, dental, vision, and life insurance.
- Employee Assistance Program (EAP).
- Flexible spending accounts for dependent care, medical, parking, and transit.
- Employee appreciation programs and events.
- Tuition assistance program.
- Professional development opportunities.
- Gympass discount.
- Verizon Wireless discount.
- BJ’s membership discount.
- Discounts on Broadway tickets, movie tickets, theme parks, sporting events, and gift certificates.
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What This Job Offers
Job Type
Full-time
Career Level
Executive
