Sr. Director, Behavioral Health Operations and Oversight

Your Role

The Senior Director, Behavioral Health Operations Oversight ensures behavioral health program integrity and compliance with state and federal regulatory standards and accreditation standards. This position works closely with management and employees to facilitate compliance with applicable federal and state regulatory requirements.

Your Knowledge and Experience

• Requires a Bachelor's degree, and a minimum of 12 years prior relevant experience in a managed care healthcare setting. Emphasis in behavioral health, preferred
• Requires experience in California Compliance, HIPAA/Privacy, FWA and/or Regulatory Affairs operations preferred, including 6 years of management experience
• Certificate of Healthcare Compliance (CHC) preferred
• Requires in-depth knowledge of quality and change management process
• Expert knowledge of state behavioral health regulatory requirements under the Centers for Medicare & Medicaid Services, Department of Managed Health Care and Department of Health Care Services
• Strong analytical skills, including the ability to interpret and determine the impact of complex laws, regulations, and other documents
• Knowledge of regulatory external audits, internal auditing and effective implementation, control, and monitoring processes
• Strong interpersonal skills with the ability to establish and maintain effective working relationships with individuals at all levels both inside and outside the Health Plan
• Strong decision-making, organizational, planning, and problem-solving skills, and communication skills are needed to effectively interact with staff, team members and others in a professional and tactful manner
• Strong presentation skills with the ability to tailor presentations to a specific audience, and address and interact with large groups