Vice President of Integrated Health Services

Heartshare Human Services Of New York•Brooklyn, NY

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. The role ensures compliance with Article 31 and 29-I regulations, Medicaid Managed Care requirements, and applicable state and federal standards. The VP advances high-quality care, operational excellence, and financial sustainability through oversight of billing, revenue cycle management, and payer relationships. Reporting directly to the Deputy Executive Director/Chief Program Officer, the VP contributes to the agency’s mission and its work as a provider of child, family, and community health services. As a member of the executive leadership council, the VP collaborates with the CEO on agency-wide strategic objectives and provides direction for integrated health services and program development. The role oversees program operations and clinical management, including Medicaid 29-I services, Care Management/Health Homes, and Clinical Support Programs. It includes direct supervision of the Medical Director and Clinical Director and oversight of 24/7 crisis response systems. The VP leads regulatory oversight and audit readiness, billing and revenue cycle operations, budget and reimbursement strategy, stakeholder relationships, and continuous quality improvement. The role also monitors developments in integrated health delivery, Medicaid Managed Care, 29-I, CFTSS, and relevant legislation and regulations. Additional responsibilities within the scope of the role may be assigned to advance the agency’s mission and organizational excellence.

Requirements

Master’s degree or higher in social, human, or health services, or a related field.
Minimum of 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 to define and achieve agency-wide strategic objectives.
Provide vision and direction for integrated health services in alignment with the agency’s mission, values, and long-term goals.
Lead development of behavioral and medical health programs responsive to client needs and evolving healthcare models.
Act as the agency’s Article 31 regulatory authority and ensure compliance with New York State 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 meet Medicaid, Article 31, 29-I, CFTSS, and other applicable requirements.
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 billing compliance.
Partner with the finance team 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 New York State Department of Health, NYC Administration for Children’s Services, CCF, COFCCA, and other regulatory or collaborative bodies.
Engage internal and external partners in program innovation, compliance, and mission-aligned growth.
Stay current on integrated health delivery models, Medicaid Managed Care, 29-I, CFTSS, and relevant legislative or regulatory changes.
Implement systems, workflows, and performance metrics to enhance quality, efficiency, and accountability.
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 organizational excellence.

Benefits

Paid vacation, sick, and personal days, and holidays.
403(B) retirement plan with employer contribution.
Health, dental, vision, and life insurance.
Employee Assistance Program (EAP).
Flexible spending account for dependent care, medical, parking, and transit expenses.
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.