Vice President of Integrated Health Services

Heartshare

New York (NY)

On-site

USD 180,000 - 280,000

Full time

44 hours ago

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Benefits offered by this job

403(B) retirement plans with employer

Health, dental, vision and life保险

Employee Assistance Program (EAP)

Flexible spending account

Professional Development opportunities

Gympass Discount

Verizon Wireless Discount

Broadway and entertainment discounts

Job summary

HeartShare Wellness LTD seeks a Vice President of Integrated Health Services to lead clinical programs, strengthen regulatory compliance, and drive financial sustainability across medical, behavioral health, and integrated care services in New York.

Reporting to the Deputy Executive Director, this senior role oversees billing, payer relationships, 24/7 crisis response, and continuous quality improvement while shaping innovative care models in line with NYS regulations.

Qualifications

Licensed Master Social Worker (LMSW) preferred.
Master’s degree or higher in social, human, or health services or a related field required.
Minimum of 10 years progressive management experience in clinical, behavioral health, or integrated health settings.
In‑depth knowledge of child and family services, Medicaid‑funded programs, and managed care operations.
Demonstrated experience overseeing Article 31‑licensed programs, including compliance, audits, corrective action plans, and quality assurance.
Strong leadership, communication, and collaboration skills with the ability to unify teams and drive results.
Proven experience in revenue cycle management, billing oversight, and payer reimbursement optimization.
Ability to build strong partnerships with internal teams, external stakeholders, and regulatory bodies.

Responsibilities

Serve as executive leadership council member with CEO to set agency objectives.
Provide vision for integrated health services aligned with mission and goals.
Lead development of innovative behavioral and medical health programs.
Oversee Medicaid 29‑I services, Care Management/Health Homes, and Clinical Support Programs.
Supervise Medical Director and Clinical Director; ensure 24/7 crisis response.
Drive quality, efficiency, and accountability using data‑driven decisions.
Lead billing and revenue cycle operations and ensure compliant reimbursement.
Build partnerships with Medicaid MCOs and regulatory bodies.

Skills

Leadership & strategic direction

Regulatory & compliance

Billing & revenue cycle oversight

Payer relationship management

Communication & Collaboration

C-suite engagement

Education

Master’s degree or higher in social, human, or health services or a related field

Licensed Master Social Worker (LMSW) preferred

Tools

EHR systems

Job description

The Vice President of Integrated Health Services provides strategic, operational, and regulatory leadership for all medical, behavioral health, and integrated care programs across the agency. This senior leader ensures full compliance with Article 31 and 29i regulations, Medicaid Managed Care requirements, and all state and federal standards governing clinical service delivery. The VP drives high‑quality care, operational excellence, and financial sustainability through strong oversight of billing, revenue cycle management, and payer relationships. Reporting directly to the Deputy Executive Director/ Chief Program Officer, the VP plays a key role in advancing the agency’s mission and strengthening its position as a premier provider of child, family, and community health services.

Primary Responsibilities And Essential Functions Of Position

Leadership & Strategic Direction

Serve as a member of the executive leadership council, collaborating with the CEO to define and achieve agency‑wide strategic objectives.
Provide vision and direction for all integrated health services, ensuring alignment with mission, values, and long‑term organizational goals.
Lead the development of innovative behavioral and medical health programs that respond to emerging client needs and evolving healthcare models.

Article 31 & Regulatory Oversight

Act as the agency’s Article 31 regulatory authority, ensuring full compliance with NYS Office of Mental Health standards.
Maintain audit readiness, oversee corrective action plans, and ensure adherence to all regulatory, licensing, and accreditation requirements.
Ensure clinical protocols, documentation, and service delivery meet Medicaid, Article 31, 29‑I, CFTSS, and other state/federal regulations.

Program Operations & Clinical Management

Oversee all medical, behavioral health, and integrated care programs, including Medicaid 29‑I services, Care Management/Health Homes, and Clinical Support Programs.
Provide direct supervision to the Medical Director and Clinical Director and ensure effective 24/7 crisis response systems.
Drive continuous quality improvement, efficiency, and accountability across all service lines, leveraging EHR systems and data‑driven decision‑making.

Billing, Revenue Cycle, & Financial Stewardship

Lead billing and revenue cycle operations, ensuring accurate coding, timely claims submission, strong denial management, and compliance with Medicaid and Article 31 billing standards.
Partner closely with the finance team to develop and manage integrated health budgets, monitor receivables, and maximize reimbursement across all payers.
Identify and implement strategies to increase revenue, expand service capacity, and strengthen financial sustainability.
Stakeholder Engagement & Partnerships
Build and maintain strong relationships with Medicaid Managed Care organizations, government oversight entities, social service agencies, and professional associations.
Represent the agency with NYS Department of Health, NYC Administration for Children’s Services, CCF, COFCCA, and other regulatory or collaborative bodies.
Engage internal and external partners to support program innovation, compliance, and mission‑aligned growth.

Innovation, Compliance & Continuous Improvement

Stay current on emerging models in integrated health delivery, Medicaid Managed Care, 29‑I, CFTSS, and relevant legislative or regulatory changes.
Implement systems, workflows, and performance metrics that enhance quality, efficiency, and accountability across all integrated health programs.
Ensure Care Management/Health Homes continues to grow and remains fully integrated within the agency’s service continuum.

Other Duties

Perform additional responsibilities within the scope of the role as required to advance the agency’s mission and support organizational excellence.

Qualifications

Licensed Master Social Worker (LMSW) preferred.
Master’s degree or higher in social, human, or health services or a related field required.
Minimum of 10 years progressive management experience in clinical, behavioral health, or integrated health settings.
In‑depth knowledge of child and family services, Medicaid‑funded programs, and managed care operations.
Demonstrated experience overseeing Article 31‑licensed programs, including compliance, audits, corrective action plans, and quality assurance.
Strong leadership, communication, and collaboration skills with the ability to unify teams and drive results.
Proven experience in revenue cycle management, billing oversight, and payer reimbursement optimization.
Ability to build strong partnerships with internal teams, external stakeholders, and regulatory bodies.

Benefits

What we offer once YOU join our growing family:

Rewarding Work in a team environment.
Paid vacation, sick, personal days, and holidays.
403(B) retirement plans with employer contribution.
Health, dental, vision and life insurance.
Employee Assistance Program (EAP).
Flexible spending account (Dependent Care, Medical, Parking, and Transit).
Employee Appreciation Programs and Events.
Tuition Assistance Program.
Professional Development opportunities.
Gympass Discount
Verizon Wireless Discount.
BJs Membership discount.
Discounts on Broadway tickets, movie tickets, theme parks, sporting events, gift certificates & more