Mental Health Program Specialist - Behavioral Health Services Act

About the role

This full-time, permanent position will play a key role in strengthening behavioral health infrastructure, ensuring regulatory alignment, optimizing Medi-Cal revenue systems, and advancing evidence-based practice implementation across BHRS.

Responsibilities

• Serve as BHRS subject matter expert on Medi-Cal billing, reimbursement regulations, and revenue optimization strategies.
• Lead patient care revenue maximization initiatives focused on improving billing accuracy and maximizing allowable Medi-Cal reimbursement.
• Oversee initiatives focused on developing and implementing streamlined billing infrastructure for community-based organizations to optimize Medi-Cal-eligible services, peer supports, and community-defined evidence practices (CDEPs).
• Facilitate an Evidence-Based Practice (EBP) Committee to support EBP selection, review, and policy and procedure development.
• Work collaboratively with BHRS Program Managers and Quality Management team to ensure EBP implementation to fidelity in compliance with state and federal guidelines.
• Review EBP revenue generation, utilization and other relevant data and make recommendations for adjustments as necessary to optimize billing, cost recovery, and compliance.
• Prepare actionable reports, briefs, and presentations to inform executive leadership strategic planning and decision-making.

Requirements

The ideal candidate will demonstrate:

• Knowledge of Medi-Cal billing, managed care contracting, and behavioral health patient care revenue systems.
• Demonstrated ability to analyze data and develop system-level recommendations for operational improvements.
• Knowledge of BHSA, BH-CONNECT, California Advancing and Innovating Medi-Cal (CalAIM), and other State initiatives impacting Medi-Cal reimbursement and documentation standards.
• Experience with implementation, readiness assessment, and fidelity monitoring of evidence-based practices (EBPs).
• Strong facilitation skills to convene multidisciplinary stakeholders, including leadership, clinical teams, and external partners.
• Commitment to quality assurance, audit readiness, and continuous improvement in public behavioral health systems.

Qualifications

• Licensure/Certification: California license as one of the following: 1) Clinical Social Worker; 2) Marriage and Family Therapist; or 3) Clinical Psychologist.
• Education and Experience: Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is three years of experience as a Mental Health professional.

Why Join BHRS?

This is an opportunity to contribute to meaningful, system-level transformation in public behavioral health. This role directly supports BHSA implementation, integrated care advancement, fiscal sustainability, and equitable access to high-quality services for diverse communities across San Mateo County.

Pay

Commensurate with experience.

Schedule

N/A