Healthcare Technology Consulting Behavioral Health Lead

Job Family:

Travel Required:

Clearance Required:

Guidehouses Health IT Solutions team works with clients to measurably improve their technology outcomes through a mix of IT strategies improvement in IT operations and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data Guidehouse propels IT operational improvement and technology adoption across departments and service lines at client organizations.

What You Will Do:

The Technical Behavioral Health Lead will oversee the design configuration validation and deployment of a EHR solution behavioral health modules across the health system for Federal and State clients. This role requires deep expertise in behavioral health workflows public sector care delivery and billing practices including long-term stays trust accounts and service authorization. The Lead will serve as the primary liaison between the client and clinical leadership vendors and stakeholders ensuring the solution meets the clients complex clinical regulatory and operational requirements.

Key Responsibilities:

Behavioral Health Workflow Design

• Lead the functional design and configuration of Oracle Health PowerChart and related modules to support inpatient outpatient and community behavioral health services
• Develop workflows for psychiatric evaluations crisis intervention care coordination and rehabilitation planning
• Configure documentation templates for behavioral health assessments treatment plans and progress notes aligned with State/Federal standards
• Ensure compliance with 42 CFR Part 2 HIPAA and State-specific privacy regulations
• Collaborate with clinical teams to design workflows for forensic services diversionary programs and justice-involved populations
• Support integration of behavioral health services with acute care pharmacy and long-term care modules

Billing and Financial Operations

Translate DMH and DPH-specific billing needs into system requirements including:

• Long-stay inpatient billing cycles and interim claims
• Resident trust account workflows including deposits withdrawals and reconciliation
• Vendor-submitted claims for community services and integration with the EIM system
• Service authorization workflows and capacity management
• Integration with state applications for financial tracking and reporting
• Ensure alignment with Oracle Health RevElate for behavioral health billing and reimbursement
• Collaborate with Revenue Cycle and Finance teams to validate charge capture claims generation and remittance posting

Testing and Validation

• Lead parallel testing of behavioral health workflows and billing processes reconciling results with legacy systems
• Validate clinical documentation service authorization and billing compliance across inpatient and community settings
• Ensure readiness for day-one operations including continuity of care and financial integrity
• Collaborate with Testing Lead and Data Migration Lead to validate behavioral health data accuracy and integrity
• Serve as the primary point of contact for behavioral health stakeholders clinical leadership program managers and community service providers.
• Participate in Change Control Board (CCB) and Steering Committee meetings to evaluate clinical and financial impacts of scope changes
• Provide executive-level reporting on behavioral health readiness risk posture and performance metrics
• Facilitate workshops and design sessions with state agencies to gather requirements and validate workflows

Stakeholder Engagement and Governance

• Lead the functional design and configuration of EHR solutions and related modules to support inpatient outpatient and community behavioral health services
• Develop workflows for psychiatric evaluations crisis intervention care coordination and rehabilitation planning
• Configure documentation templates for behavioral health assessments treatment plans and progress notes aligned with client standards
• Ensure compliance with 42 CFR Part 2 HIPAA and State-specific privacy regulations
• Collaborate with clinical teams to design workflows for forensic services diversionary programs and justice-involved populations
• Support integration of behavioral health services with acute care pharmacy and long-term care modules

What You Will Need:

• Bachelors Degree
• Minimum 5 years of experience in behavioral health operations leadership roles
• Proven experience implementing Oracle Health PowerChart and RevElate in behavioral health settings
• Deep understanding of State behavioral health workflows including inpatient outpatient and community services
• Experience with trust account management long-stay billing and service authorization processes
• Familiarity with Medicaid Medicare Part D and state-specific billing systems
• Strong knowledge of behavioral health documentation standards and regulatory compliance
• HFMA certification or equivalent credential
• Excellent communication stakeholder engagement and documentation skills

What Would Be Nice To Have:

• Experience with federal/state EHR implementation projects

• Familiarity with Oracle Health Data Intelligence (formerly HealtheIntent) for behavioral health analytics and reporting

• Experience with behavioral health and long-term care billing workflows including 42 CFR Part 2 compliance
• Experience managing behavioral health transformation in multi-entity multi-payer environments

What We Offer:

Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical Rx Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

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