Behavioral Health Therapy Clinical Administrator

We have an exciting opportunity to join the Alliance as the Behavioral Health Therapy Clinical Administrator in the Behavioral Health Department. This is a hybrid position with the expectation to travel to each of our service counties (Monterey, Santa Cruz, Merced, San Benito, and Mariposa) at least once per quarter and be flexible with travel requirements based on business needs. 

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Behavioral Health Medical Director, this position will provide clinical leadership of Health Services functional areas, such as Behavioral Health Therapy (BHT), including applied behavioral analysis (ABA) and other evidence-based behavioral interventions, Non-Specialty Mental Health Care, Utilization Management, Care Management, and Quality. You will oversee the development and delivery of Behavioral Health Therapy, including developing, establishing, and maintaining relationships with internal and external stakeholders and participating in all aspects of regulatory compliance related to Behavioral Health.

ABOUT THE TEAM

We are a small group housed within Health Services, responsible for the oversight of behavioral healthcare benefits within the managed care plan and ensuring collaboration with outside stakeholders who provide other types of behavioral health services.  

Our mission is to ensure timely and equitable provision of high-quality, accessible behavioral health care to all members through a collaborative and integrated approach to improve overall well-being. Part of that commitment involves helping members overcome barriers which can prevent access to, or utilization of, the behavioral health benefit.

THE IDEAL CANDIDATE 

  • Has a strong background in Behavioral Health Therapy (BHT), with expertise in reviewing and managing authorizations for BHT care plans, including the ability to modify or decline BHT authorizations as needed
  • Has experience with applied behavioral analysis (ABA) and other evidence-based behavioral interventions, Non-Specialty Mental Health Care, Utilization Management, Care Management, and Quality
  • Is skilled at developing and maintaining strong relationships with internal and external stakeholders, including school leadership and key school district partners, fostering effective collaboration to enhance service delivery
  • Has experience in overseeing the development, delivery, and quality improvement of behavioral health therapy programs, as well as the ability to collaborate with cross-functional teams, workgroups, and committees to drive organizational goals
  • Is able to act as the organization's go-to expert for BHT, developing and maintaining ongoing BHT training programs, ensuring staff are up-to-date on the latest evidence-based practices and treatment approaches

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description and list of requirements click here.

  • Knowledge of:
    • The principles and practices of behavioral health therapy, including treatment planning and case management
    • The principles and practices of data collection and data management related to utilization and quality of medical care
    • The principles and practices of clinical research and assessment
  • Ability to:
    • Build trust and rapport with the local provider community and other health plans
    • Utilize good judgment, communication, and tact when interacting with health care providers, members and other stakeholders
    • Maintain knowledge of the medical communities and Behavioral and Mental Health/Substance Use Disorder communities within the Alliance service area counties
    • Analyze and interpret legal, regulatory, and contractual language and guidelines, and legislative and regulatory directives
  • Education and Experience:
    • Possession and continued maintenance of current and unrestricted certification as a Board Certified Behavior Analyst-Doctoral (BCBA-D) issued by the Behavior Analyst Certification Board (BACB) and a minimum of four years of experience working as a certified BCBA/BCBA-D in behavioral health therapy in a managed care setting or similar healthcare environment, which included treatment planning and management and program management/project lead experience

OR 

    • Possession and continued maintenance of a current and unrestricted Clinical Psychology (Psy.D or Ph.D.) license issued by the State of California and a minimum of four years of experience in behavioral health therapy, including four years of ABA, in a managed care setting or similar healthcare environment, which included treatment planning and management and program management/project lead experience {Possession and continued maintenance of a current and unrestricted certification as a Board Certified Behavior Analyst (BCBA/BCBA-D) issued by the Behavior Analyst Certification Board (BACB) may substitute for two years of the required experience}

OTHER INFORMATION

  • We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
  • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
  • In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

 

The full compensation range for this position is listed by location below. 

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

 

 

Zone 1 (Monterey, San Benito and Santa Cruz)
$123,399$197,454 USD
Zone 2 (Mariposa and Merced)
$112,289$179,670 USD

 

OUR BENEFITS

  • Medical, Dental and Vision Plans
  • Ample Paid Time Off
  • 12 Paid Holidays per year
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Robust Health and Wellness Program
  • Onsite EV Charging Stations
  • And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. 

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet.


At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Who We Are Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. Founded in 1996, the Alliance was established to improve access to health care for lower income residents. We have pursued this mission by linking members to primary care physicians and clinics who assist in managing their care. To learn more about us, take a look at our Fact Sheet.   Our Culture We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.  Guided by our values of Improvement, Integrity, Collaboration and Equity, we strive to fulfill our vision of “Healthy people. Healthy communities.” This focus includes finding innovative solutions that lead to better health outcomes. Come join us!   Career Growth and Advancement We support career development through promotional opportunities in a growing, financially stable organization. Get on-the-job-training and gain experience in an exemplary managed care model. To further support your career journey, we offer full access to LinkedIn Learning and annual tuition reimbursement.   Support for Your Health and Wellness We believe in supporting the whole person and offer a comprehensive benefits package that includes medical, dental and vision coverage for you and your dependents. Learn more about our benefits in this comprehensive guide. In addition to 12 paid holidays per year, we provide ample paid time off. We recognize the importance of work-life balance, so we offer flexible scheduling and extra support when you need it most. To promote health and wellness, we provide reimbursements for gyms and online fitness classes. Your financial future is important to us. The Alliance contributes 10% of your salary to a defined contribution 401(a) plan after one year of employment. We also provide you with an opportunity to save voluntarily via our 457 retirement savings plan.   Equal Opportunity At the Alliance, one of our values is that of Equity. We consciously work toward eliminating disparity through inclusion and justice. With that, it's our belief that all people are entitled to equal employment opportunities, and the Alliance is committed to compliance with all applicable laws providing equal employment opportunities. The Alliance is proud to be an equal employment opportunity employer where we cultivate belonging, nurture inclusion and value diversity to create collaborative and innovative teams. We assure equal treatment in the administration of employment decisions including recruitment, selection, hiring and compensation and applicants will receive consideration for employment on the basis of merit, experience and other applicable work-related criteria, without regard to race, color, religion, religious creed, national origin, ancestry, citizenship, age, physical disability, mental disability, legally protected medical condition, genetic characteristics, genetic information, marital status, domestic partner status, family care status, sex (including pregnancy, childbirth breastfeeding and/or related medical conditions), sexual orientation, gender, gender identify, gender expression, political activities or affiliations, military or veteran status or any other characteristic protected by federal, state or local laws. We encourage all people from all backgrounds to apply. Come join us and find out the positive impact you can have in helping us carry out our mission. The Alliance is committed to the full inclusion of all qualified individuals. As part of this commitment, we will ensure that persons with disabilities are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the Talent Acquisition team at [email protected] or call the Alliance at 831-430-5500.   Get to Know Us Follow us on LinkedIn to stay up-to-date with new opportunities and to learn more about what it’s like to be a member of our team. To learn more about our culture and what our current and former employees say, check out our Glassdoor page. See how we connect with our members by visiting our Facebook page. Learn about our mission, vision and values.     Frequently Asked Questions Can the Alliance sponsor my visa? At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States at the time of application and hire on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship. As required by federal law, all newly hired employees must be able to provide evidence of eligibility to work in the United States. Acceptable forms of identification can be found on the www.uscis.gov website. What happens after I send in my application? We look at each and every resume and application that we receive. A Recruiter will review your resume and qualifications against the position description for the job that you applied to. We'll get you updates as soon as we can about the status of your application. Once we have your resume on file, we'll also keep you in mind for other positions and may reach out with other opportunities that you might be interested in. What are those temporary jobs that you have listed? Sometimes we have temporary (temp) positions that we hire in addition to our regular positions. The temp positions typically have a set start and end date but can change based on the business need. Usually the temp positions are covering an employee's leave of absence, or are working on a special project. We have all of our temp employees get signed up with a local temporary staffing agency while they are on an assignment with us. The temp positions can be a great way to check out the Alliance and learn more about the work that we do.    

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$123,399 – $197,454 per year
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