Behavioral Health Compliance and Risk Manager

1 month ago

Grandville, United States Mentavi Inc. Full time
Job DescriptionJob DescriptionSalary:

Position Title: Behavioral Health Compliance and Risk Manager


Reports To: Chief Compliance Officer


Location: Hybrid with HQ in Grand Rapids, Michigan


Job Type: Full-Time


About Us: Designated as Michigan’s one of 50 companies to watch Michigan Celebrates in 2022. Mentavi Health is a leading provider of behavioral health services, offering comprehensive diagnosis and treatment across the United States. We are committed to maintaining the highest standards of compliance, credentialing, and risk management to ensure the safety and well-being of our patients.


Position Summary: The Behavioral Health Compliance and Risk Manager will be responsible for overseeing the company’s compliance with all regulatory requirements, managing clinician credentialing processes, and maintaining a comprehensive risk matrix. This role will work closely with the executive team, including but not limited to the Chief Compliance Officer and various departments to ensure audits, reviews, and risk assessments are conducted effectively and efficiently. At this time, this role will not have any direct reports.


The company has distinguished itself with an emphasis on a strong, patient-safety centered journey and a culture around that. This is a new role introduced with the expansion of the company into a broader range of mental health services. The company has a strong existing compliance structure with a Chief Compliance Officer, Clinical Quality Improvement Committee (CQIC), Reviews, Audits, and escalation workflows. This role will work closely with the existing structure and also have responsibility for continuing to grow the approach to stay at behavioral healthcare best practices level. The company has an engaged, collaborative and passionate, and purpose driven team and this role will have strong intersections across the team. 


Key Responsibilities:

Compliance Management:

  • Review and support existing policies, and develop and implement additional compliance policies and procedures in accordance with federal, state, and local regulations.
  • Conduct regular audits and reviews to ensure compliance with regulatory standards.
  • Monitor changes in healthcare regulations and update company policies as necessary.
  • Collaborate with the Chief Compliance Officer, Chief Medical Officer, and Chief Executive Officer to address compliance issues and implement corrective actions.
  • Along with senior management, steward an ongoing culture of pride in high standards of compliance and ethical behavior within the organization.

Clinical Risk Management:

  • Develop and maintain a risk matrix to identify, assess, and mitigate risks across the organization.
  • Conduct risk assessments and implement strategies to minimize potential risks.
  • Track and document all incidents, audits, and reviews, ensuring timely resolution and follow-up.
  • Prepare and present risk management reports to the executive team.

Interdepartmental Coordination:

  • Work with various departments to ensure compliance and risk management processes are integrated into all aspects of the organization.
  • Provide training and education to staff on compliance, credentialing, and risk management policies.
  • Serve as a resource for staff and management on compliance-related issues.

Continuous Improvement:

  • Monitor industry trends and changes in regulations to ensure the organization remains compliant.
  • Identify opportunities for process improvements and implement best practices.
  • Stay informed about new compliance and credentialing technologies and tools.

Credentialing:

  • Manage the credentialing process for all clinicians, ensuring all licenses and certifications are current and compliant with state and federal regulations, working in tandem with Clinical and Operational leadership.
  • Maintain a database of clinician credentials, licenses, and certifications across all 50 states.
  • Coordinate with state licensing boards and professional organizations to resolve credentialing issues.
  • Ensure compliance with accrediting bodies' standards and requirements for credentialing.
  • Respond to inquiries regarding credentialing status and provide support to providers throughout the credentialing process.


Required Qualifications:

  • Bachelor's degree in healthcare administration, public health, clinical health or a related field.
  • Minimum of 5 years of experience in compliance, credentialing, and risk management within the clinical healthcare or behavioral health field.
  • In-depth knowledge of federal, state, and local healthcare regulations and standards and credentialing processes.
  • Strong analytical, and problem solving skills and the ability to manage complex data.
  • Excellent organizational and communication skills.
  • Ability to work independently and as part of a team.
  • Proficiency in using credentialing software and compliance management tools


Preferred Qualifications

  • Master degree in healthcare administration, nursing or a related field.
  • Certification in Healthcare Compliance (CHC) or related credentialing certification such as Certified Professional in Healthcare Risk Management (CPHRM), CPCS, or CPMSM.
  • Experience with multi-state credentialing practices.


Benefits:

  • Competitive salary and benefits package (health, dental, vision, 401K)
  • Professional development opportunities.
  • Hybrid/flexible work environment.
  • Paid Holidays & PTO.
  • STD and LTD.
  • Paid life insurance and voluntary life insurance options.
  • Employee stock options.
  • Canine pet policy.
  • Free snacks and drinks in the office.
  • Company meetings with paid lunches. 
  • Access to our diagnostic evaluation(s).
  • Team building events including but not limited to company picnics.


Mentavi Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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