Children's Village Medicaid Behavioral Health Services Manager in United States
Position Overview: The Medicaid Behavioral Health Services Manager is responsible for the coordination and oversight of outpatient behavioral health services authorized under Child and Family Treatment and Support Services (CFTSS) and Home and Community Based Services (HCBS). The MBHS Manager ensures that providers are appropriately credentialed and supervised, that services are delivered to eligible clients as part of an approved plan of care, and that services are documented and billed in a manner that is compliant with all applicable regulations, contracts, and best practices. The MBHS Manager provides subject matter expertise across the agency’s programs regarding eligibility, service definitions, billing and documentation requirements, managed care benefits and authorizations, and Medicaid compliance, and works to develop new MBHS delivery options and referral sources to the benefit of clients and their families.
Position Qualifications: Bachelor’s degree with at least five years’ experience in Medicaid health or behavioral health services, oversight, or compliance OR Master’s degree with at least two years’ experience. Knowledge of NY State Medicaid benefits, including foster care per diems, waiver programs, or other behavioral health services preferred. Ability to interpret and understand new Medicaid services and policies and develop and implement program models in response. Strong organization and tracking skills to monitor compliance, billing and regulatory requirements. Knowledge or experience with the use of myEvolv (or similar electronic health records) for outpatient behavioral health documentation and billing preferred.