San Mateo County Health is seeking an experienced and dynamic professional to serve as Mental Health Program Specialist- Evidence-Based Practices & Revenue Optimization within the Behavioral Health and Recovery Services (BHRS) division, supporting implementation of the Behavioral Health Services Act (BHSA) and advancing system-wide transformation efforts.
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.
Since 2006, BHRS has been committed to building a welcoming, recovery-oriented, trauma-informed, and culturally responsive system of care that addresses the full spectrum of client health needs, including physical, emotional, behavioral, and social well-being. Recent state legislation, regulatory changes, and local innovation efforts have reshaped the behavioral health landscape. The position will help ensure BHRS remains responsive, compliant, and forward-thinking in this evolving environment.
About the Role
- Lead Medi-Cal billing and revenue cycle improvement initiatives.
- Oversee initiatives focused on developing certification and billing infrastructure for contracted community-based providers.
- Coordinate agency-wide requirements for implementation and fidelity monitoring of Evidence-Based Practices (EBPs).
- Support implementation of Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) and other EBP and Medi-Cal billing-related initiatives.
- Advise leadership on relevant policy changes to support strategic planning and sustainable, high-quality service delivery.
This position will collaborate closely with clinical teams, administrative leadership, community-based organizations, managed care partners, and state agencies to advance integrated, equitable behavioral health care.
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.
If you are a strategic thinker who thrives at the intersection of policy, operations, data, and behavioral health innovation, we encourage you to apply.
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.
Duties may include but are not limited to:
- 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-Caleligible 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.
NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.