Behavioral Health Vendor Relations Manager
Fallon Health
full-time
Posted on:
Location Type: Hybrid
Location: Worcester • Massachusetts • 🇺🇸 United States
Visit company websiteSalary
💰 $100,000 - $115,000 per year
Job Level
Mid-LevelSenior
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
behavioral health codingbillingvendor managementprocess improvementsperformance metricscompliance monitoringcontract executionstrategic partnershipsprogram oversighthealthcare administration
Soft skills
analytical skillsstrategic thinkingproblem-solvingcommunication skills
Certifications
CADCLMHCLCSWLICSWLADC