Behavioral Health Vendor Relations Manager
Fallon Health
full-time
Posted on:
Location Type: Hybrid
Location: Worcester • Massachusetts • United States
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Salary
💰 $100,000 - $115,000 per year
About the role
- Serve as the primary liaison between Fallon Health and its contracted behavioral health vendor
- Ensure seamless contract execution, operational excellence, and financial oversight across all lines of business
- Drive strategic partnerships, lead cross-functional initiatives, and promote behavioral health integration to improve member outcomes and vendor performance
- Lead weekly vendor account meetings to address operational needs and resolve issues
- Manage behavioral health provider contracts and maintain accurate documentation
- Develop and maintain vendor scorecards and performance metrics
- Identify and implement process improvements for vendor management
- Monitor and verify that the vendor consistently meets all compliance, regulatory, and contractual obligations as outlined in agreements
- Collaborate with the vendor and organizational leadership to proactively identify areas of concern or non-compliance, and address these through structured discussions during weekly account meetings
- Serve as department lead on cross-functional teams and subcommittees
- Coordinate with internal departments (Care Services, Claims, Credentialing, IT, Finance)
Requirements
- Bachelor's degree required
- Master's degree in Healthcare Administration, MBA, MPP, MPH or similar preferred, but not required
- License or Certification in behavioral health (e.g., CADC), or as a behavioral health professional (e.g., LMHC, LCSW, LICSW, LADC etc.) is required
- Valid Massachusetts Driver’s License
- Minimum 3 years in a managerial role overseeing programs, vendors, or operations, preferably in managed healthcare or public sector programs
- Knowledge of Medicare and Medicaid reimbursement, behavioral health coding and billing, and state contracts
- Familiarity with the continuum of care for SUD and BH services in Massachusetts
- Experience with behavioral health integration, alternative payment models, and innovative care delivery strategies
- Strong analytical, strategic thinking, and problem-solving skills
- Excellent communication skills (verbal, written, electronic)
- Proficiency in Microsoft Word, Excel, PowerPoint, Project, Planner, and other MS Office tools
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
behavioral health codingbillingvendor managementprocess improvementsperformance metricscompliance monitoringcontract executionstrategic partnershipsprogram oversighthealthcare administration
Soft Skills
analytical skillsstrategic thinkingproblem-solvingcommunication skills
Certifications
CADCLMHCLCSWLICSWLADC