Commonwealth Care Alliance · 12 hours ago
BH Provider Engagement Program Manager
Boston, MA
Full-time
Hybrid
Senior Level
$100K/yr - $149K/yr
5+ years expCommonwealth Care Alliance is seeking a BH Provider Engagement Program Manager responsible for cultivating strong relationships with behavioral health providers and driving performance improvement. The role involves acting as a primary contact for providers, analyzing performance data, and collaborating with various internal teams to enhance care quality and provider engagement.
Health CareHospitalMedical
Responsibilities
Serve as the primary relationship manager and point of contact for assigned BH providers, fostering collaboration and problem-solving
Represent CCA’s behavioral health priorities, programs, and initiatives to the provider network
Promote provider understanding of CCA’s mission, value-based approach, and expectations for quality, utilization, and member experience
Address provider inquiries related to care coordination, utilization management, and program participation, collaborating with internal teams as needed
Analyze and interpret provider data related to utilization, cost, quality, and outcomes to identify performance trends and opportunities for improvement
Develop and share actionable performance reports with providers to support data-driven quality improvement
Collaborate with internal analytics and clinical teams to ensure data insights are accurate, meaningful, and aligned with organizational priorities
Track provider progress on performance metrics (e.g., HEDIS, readmissions, community tenure) and follow up to support improvement efforts
Partner with the Health Home and Clinical teams to support consistency and quality across BH and Health Home providers
Participate in case review meetings and rounds as needed to enhance coordination and care transitions
Support the identification and implementation of innovative provider initiatives, pilots, and clinical improvement projects
Build linkages between levels of behavioral health care — from inpatient to community-based — to improve transitions and continuity of care
Work closely with the Network and Business Development teams to ensure information and insights are shared bidirectionally
Collaborate with cross-functional leaders, including community organizations, PCPs, and social service agencies, to strengthen relationships and community integration
Partner with the Behavioral Health leadership team to support initiatives related to value-based payment (VBP), quality improvement, and provider engagement
Manage assigned provider relationships and related projects to meet defined goals for engagement, quality, and performance
Develop and execute annual provider engagement plans informed by provider data, feedback, and CCA priorities
Follow through on performance improvement activities, monitoring impact and adjusting approach as needed
Support departmental projects and initiatives as assigned
Represent the Behavioral Health team in cross-functional meetings and external stakeholder discussions
Qualification
Required
Master's degree in a behavioral health discipline (Psychology, Social Work, Counseling, or related field) or equivalent experience required
5+ years
Experience with Medicaid and Medicare products and programs
Experience or knowledge of behavioral health services available to support dual eligible populations
Experience in behavioral health clinical practice, provider relations, or healthcare management
Strong relationship management and communication skills, with the ability to engage and influence diverse stakeholders
Demonstrated analytical ability to interpret and apply provider performance data
In-depth understanding of behavioral health systems, care delivery, and care coordination processes
Excellent organizational, time management, and project management skills
Ability to work collaboratively in a matrixed environment
Proficiency in Microsoft Office Suite; experience with data reporting tools preferred
Ability to function independently and effectively as part of an interdisciplinary team
Strong and effective communication skills, both written and verbal
Strong interpersonal and customer relations skills
Effective teaching skills
Mediation/facilitation/conflict resolution skills
Demonstrates analytical skills necessary to review data
English
Preferred
Experience working with managed care organizations, value-based programs, or community-based behavioral health providers strongly preferred
Experience with dual-eligible (SCO or One Care) populations preferred
Experience in healthcare program management, provider relations, or network management
Knowledge of Massachusetts BH landscape
Proven skills, knowledge base, and judgment necessary for independent clinical decision making in alignment with clinical licensure
Strong understanding of Medicare, Medicaid (MassHealth), and dual-eligible program operations, including regulatory and compliance requirements
Demonstrated ability to describe and assess a simple business problem
Demonstrated ability to define a solution to a simple business problem and develop a plan for resolution
Benefits
You may qualify for a bonus tied to company and individual performance.
Substantial and comprehensive total rewards package.
Company
Commonwealth Care Alliance
Commonwealth Care Alliance is an integrated care system that advocates for economical healthcare policies.
1001-5000 employees
H1B Sponsorship
Commonwealth Care Alliance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (16)
2023 (11)
2022 (18)
2021 (21)
2020 (15)
Funding
Current Stage
Late StageTotal Funding
$1.77MKey Investors
The Robert Wood Johnson Foundation
2025-04-09Acquired
2019-11-11Grant· $1.77M
Leadership Team
Amanda Cassel Kraft
Chief Operating Officer
Don Stiffler
Chief Revenue and Growth Officer
Recent News
2025-12-29
Press Telegram
2025-12-03
Company data provided by crunchbase