Apply on Employer Site

Fallon Health · 1 day ago

BH Vendor Relations Manager - Hybrid

US-MA-Worcester

Full-time

Hybrid

Mid, Senior Level

$100K/yr - $115K/yr

3+ years exp

Fallon Health is a company that cares, focused on delivering equitable, high-quality, coordinated care. The Behavioral Health Vendor Relations Manager serves as the primary liaison between Fallon Health and its contracted behavioral health vendor, ensuring seamless contract execution and promoting behavioral health integration to improve member outcomes.

FitnessHealth CareMedical

H1B Sponsor Likely

Responsibilities

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

Escalate and troubleshoot vendor-related issues promptly

Manage and oversee the reporting package provided by the behavioral health vendor, ensuring timely and accurate submission of all required reports

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

Lead weekly vendor account meetings to address operational needs, resolve issues, and review reporting outcomes

Develop and maintain vendor scorecards and performance metrics, using data from reporting packages to drive accountability and performance improvements

Identify and implement process improvements for vendor management, with a focus on compliance and reporting accuracy

Escalate and troubleshoot vendor-related issues promptly, ensuring transparency and alignment with organizational standards

Serve as department lead on cross-functional teams and subcommittees

Coordinate with internal departments (Care Services, Claims, Credentialing, IT, Finance)

Promote behavioral health integration across Fallon Health and partner organizations

Communicate vendor updates and coordinate solutions across teams

Troubleshoot financial issues related to vendor and provider contracts

Collaborate with vendors to strengthen strategic partnerships with behavioral health providers

Qualification

Vendor managementBehavioral health integrationMedicareMedicaid knowledgeAnalytical skillsMicrosoft Office proficiencyCommunication skillsBehavioral health certificationManagerial experienceProblem-solving skillsStrategic thinking

Required

Bachelor's degree 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

Preferred

Master's degree in Healthcare Administration, MBA, MPP, MPH or similar preferred, but not required

Company

Fallon Health

Founded in 1977, Fallon Health is a community-focused not-for-profit health care services organization based in Worcester, Massachusetts.

Founded in 1977

Worcester, Massachusetts, USA

1001-5000 employees

http://www.fchp.org

H1B Sponsorship

Fallon Health 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 (8)

2024 (8)

2023 (5)

2022 (9)

2021 (7)

2020 (5)