Oakland Community Health Network

Analyst

• The Substance Abuse Professional (Clinical Analyst - SUD) guides clinical services delivery and implements OCHN’s strategic vision and plan with the respective Providers within the Service Network.
• Provides clinical content expertise and guidance to the SUD Network Providers for the development and improvement of service initiatives, projects, and programs.
• Provides clinical guidance to contractors related to audit findings and corrective action plans.
• Participates in provider case conferences, and provides clinical guidance related to contract requirements.
• Develops Best Practice / Evidence-Based Practice models of service, and makes recommendations for implementation of the Practices, including protocol and policy development as well as fidelity guidelines.
• Creates system change through implementation of the principles and practices of Recovery, Self-Determination, Trauma-Informed Systems, Person-/ Family Centered Planning, Peer-delivered services, and Evidenced-based or Best Practices, including the evaluation of outcomes and service recipient satisfaction.
• Collaborates with the OCHN UM Team to develop and implement SUD Utilization Management guidelines, policies, practices, and outcomes; analyze utilization data; make recommendations for improvements; and provide training / education, as needed.
• Analyzes system data, identifies trends, monitors usage of services within populations served, provide written reports.
• Provides recommendations for improvement plans.
• Takes a leadership role in the effectiveness of clinical activities, identifies improvement actions, as necessary, and makes recommendations as appropriate.
• Coordinates the identification, development, and implementation of needed training within the designated population group to ensure that SUD Service organizations/staff have the necessary skills to provide quality services and outcomes.
• Participates in meetings, workgroups, and committees with other OCHN Teams, such as involvement in Access, Quality Management, or benefits coordination initiatives, etc.
• Actively participates in the development of contracts, as well as the evaluating of performance for contract continuation, including outcome measures, business practices, quality indicators, grievance, and Recipient Rights trends, etc.
• Participate in the resolution of systems issues identified by Customer Service staff and other members of the OCHN or SUD Team, including communicating relevant information, analyzing data / trends, and making recommendations, arranging provider education / training, and ensuring development and evaluation of improvement plans.
• Participates in the resolution of Provider issues / complaints, including involvement in the Dispute Resolution process and Appeals process, if needed.
• Implements identified initiatives and projects via participation in local, state, and federal collaborative activities.

Substance Abuse Professional, Clinical Analyst – SUD

Manager

• Assist with the development and implementation of service lines that support the full crisis continuum.
• Collaborate with internal teams and external partners to ensure seamless integration of crisis services across the behavioral health system.
• Monitor and evaluate program effectiveness using data-driven approaches to improve service delivery and outcomes.
• Ensure compliance with CARF standards and other relevant regulatory and accreditation requirements.
• Support strategic planning initiatives by identifying gaps in crisis services and proposing innovative solutions.
• Provide leadership and supervision to crisis service staff, fostering a culture of accountability, collaboration, and continuous improvement.
• Assist in budget development and resource allocation to support crisis service expansion and sustainability.
• Represent OCHN in community meetings, stakeholder engagements, and crisis-related workgroups, advocating for system improvements and partnerships.
• Develop and maintain policies and procedures that support crisis service operations and uphold best practices.
• Coordinate with emergency services, law enforcement, and hospital systems to strengthen crisis response pathways.
• Contribute to workforce development efforts, including training, onboarding, and performance evaluation of crisis staff.
• Support data collection and reporting efforts to inform decision-making and meet contractual or regulatory requirements.
• Participate in quality improvement initiatives and help implement corrective action plans when needed.
• Assist with crisis-related communications, including public messaging, internal updates, and stakeholder engagement.
• Additional duties, as assigned.

Manager – Crisis Services

Billing Specialist

• Review and prepare accurate and timely invoices/claims for services provided
• Monitor and follow up on outstanding invoices/claims, ensuring timely payments from insurance companies
• Continually monitor AR, ageing levels and unapplied billings
• Resolve billing issues, such as discrepancies or disputes, by communication with insurance companies and other stakeholders
• Maintain accurate and complete billing records and reports
• Utilize EHR systems and clearinghouse databases to maximize the pace and flow of revenue
• Accurately post all assigned insurance payments
• Enhance performance in unpaid claims/accounts receivables
• Address person inquiries and provide excellent customer service
• Collaborate with other departments in successful resolution of claims related issues
• Maintain strict adherence to confidentiality standards and HIPAA regulations
• Other duties as assigned

Procurement

• Provide contract and procurement activities for OCHN and related technical support to the Manager of Contracts and Procurement.
• Lead RFP, RFQ and bid processes including high-level technical technology purchases.
• Perform emergency procurement activities as warranted by national, state, or local crisis situations.
• Provide content expertise in development of procurement policies, procedures, scopes of work, and sourcing strategies.
• Implement sourcing strategies, conduct market research and analysis to control costs and assure supply.
• Prepare contracts ensuring risk management, legal and compliance issues are addressed.
• Prepare contracts related to grants, monitor grant activities and reporting requirements.
• Negotiate complex, critical, and/or high-risk projects; serve as liaison between OCHN staff and vendors during negotiations and implementation.
• Monitor contracts, suppliers, cost, quality, and delivery performance; develop reporting as needed.
• Maintain records management of all contracts and solicitations from draft through completion.
• Engage internal customers to meet needs and improve effectiveness, efficiency, and satisfaction.
• Create and maintain mutually beneficial partnerships with suppliers for feedback and continuous improvement.
• Work under supervision of Manager of Contracts and Procurement to ensure standardized procurement approach.
• Other duties as assigned by Manager and Chief Legal Officer.

Contracts and Procurement Specialist II

The Contracts and Procurement Specialist I follow established process, practices and policies to finds cost-effective deals on goods and services.
Process and maintain contracts and procurement documents for files.
Organize, process and track contract documents and amendments from draft through completion.
Serve as liaison between OCHN staff and vendors during contract negotiations, implementation, and management.
Prepare contracts and ensure risk management, legal and compliance issues addressed.
Monitor contracts and agreements for assigned commodities and supplier performance.
Assist in location, analysis, development, and maintenance of consolidated bid list and lead bid processes (RFP, RFQ, etc.).
Develop scope of work for RFx documents and prepare bid documents, evaluations, summaries, and recommendations.
Review documents for adherence to federal, state, and local procurement requirements.
Implement sourcing strategies to control purchased material costs and ensure adequate supply.
Create and maintain partnerships with suppliers for feedback and improvement.
Engage internal customers to meet OCHN needs and improve effectiveness.
Drive continuous improvement in procurement process.
Work under supervision of Manager of Contracts and Procurement and perform other duties as assigned.