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Guidehouse

Healthcare Technology Consulting Behavioral Health Lead at Guidehouse

Guidehouse New Boston, NH

Job Description

Job Family:Technology ConsultingTravel Required:Up to 50%Clearance Required:NoneGuidehouses Health IT Solutions team works with clients to measurably improve their technology outcomes through a mix of IT strategies improvement in IT operations and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data Guidehouse propels IT operational improvement and technology adoption across departments and service lines at client organizations.What You Will Do:The Technical Behavioral Health Lead will oversee the design configuration validation and deployment of a EHR solution behavioral health modules across the health system for Federal and State clients. This role requires deep expertise in behavioral health workflows public sector care delivery and billing practices including long-term stays trust accounts and service authorization. The Lead will serve as the primary liaison between the client and clinical leadership vendors and stakeholders ensuring the solution meets the clients complex clinical regulatory and operational requirements.Key Responsibilities:Behavioral Health Workflow DesignLead the functional design and configuration of Oracle Health PowerChart and related modules to support inpatient outpatient and community behavioral health servicesDevelop workflows for psychiatric evaluations crisis intervention care coordination and rehabilitation planningConfigure documentation templates for behavioral health assessments treatment plans and progress notes aligned with State/Federal standardsEnsure compliance with 42 CFR Part 2 HIPAA and State-specific privacy regulationsCollaborate with clinical teams to design workflows for forensic services diversionary programs and justice-involved populationsSupport integration of behavioral health services with acute care pharmacy and long-term care modulesBilling and Financial OperationsTranslate DMH and DPH-specific billing needs into system requirements including:Long-stay inpatient billing cycles and interim claimsResident trust account workflows including deposits withdrawals and reconciliationVendor-submitted claims for community services and integration with the EIM systemService authorization workflows and capacity managementIntegration with state applications for financial tracking and reportingEnsure alignment with Oracle Health RevElate for behavioral health billing and reimbursementCollaborate with Revenue Cycle and Finance teams to validate charge capture claims generation and remittance postingTesting and ValidationLead parallel testing of behavioral health workflows and billing processes reconciling results with legacy systemsValidate clinical documentation service authorization and billing compliance across inpatient and community settingsEnsure readiness for day-one operations including continuity of care and financial integrityCollaborate with Testing Lead and Data Migration Lead to validate behavioral health data accuracy and integrityServe as the primary point of contact for behavioral health stakeholders clinical leadership program managers and community service providers.Participate in Change Control Board (CCB) and Steering Committee meetings to evaluate clinical and financial impacts of scope changesProvide executive-level reporting on behavioral health readiness risk posture and performance metricsFacilitate workshops and design sessions with state agencies to gather requirements and validate workflowsStakeholder Engagement and GovernanceLead the functional design and configuration of EHR solutions and related modules to support inpatient outpatient and community behavioral health servicesDevelop workflows for psychiatric evaluations crisis intervention care coordination and rehabilitation planningConfigure documentation templates for behavioral health assessments treatment plans and progress notes aligned with client standardsEnsure compliance with 42 CFR Part 2 HIPAA and State-specific privacy regulationsCollaborate with clinical teams to design workflows for forensic services diversionary programs and justice-involved populationsSupport integration of behavioral health services with acute care pharmacy and long-term care modulesWhat You Will Need:Bachelors DegreeMinimum 5 years of experience in behavioral health operations leadership rolesProven experience implementing Oracle Health PowerChart and RevElate in behavioral health settingsDeep understanding of State behavioral health workflows including inpatient outpatient and community servicesExperience with trust account management long-stay billing and service authorization processesFamiliarity with Medicaid Medicare Part D and state-specific billing systemsStrong knowledge of behavioral health documentation standards and regulatory complianceHFMA certification or equivalent credentialExcellent communication stakeholder engagement and documentation skillsWhat Would Be Nice To Have:Experience with federal/state EHR implementation projectsFamiliarity with Oracle Health Data Intelligence (formerly HealtheIntent) for behavioral health analytics and reportingExperience with behavioral health and long-term care billing workflows including 42 CFR Part 2 complianceExperience managing behavioral health transformation in multi-entity multi-payer environmentsThe annual salary range for this position is $130000.00-$216000.00. Compensation decisions depend on a wide range of factors including but not limited to skill sets experience and training security clearances licensure and certifications and other business and organizational needs.What We Offer:Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:Medical Rx Dental & Vision InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave and Adoption Assistance401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityStudent Loan PayDownTuition Reimbursement Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramMobility StipendAbout GuidehouseGuidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Key Skills Revenue Cycle Management,HIPAA,Healthcare Management,PMBOK,Microsoft Outlook,Project Leadership,Data Management,Project Management,Affiliate Marketing,Project Management Software,Supervising Experience,Workday Employment Type : Full-Time Experience: years Vacancy: 1 Monthly Salary Salary: 130000 - 216000

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