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Essen Health Care

Multi-site primary and specialty care network

Director of Collaborative Care - Collaborative Care

Business OperationsConfirmed live in the last 24 hours
Full-timeBronx, NY, USA$100k - $120k

About the Job

Requirements

  • A Master's degree is required in Human Services, Social Work, Public Health, Behavioral Health, Health Care Administration, or Business Administration (MBA) with a concentration in health care or a related field.
  • At least 5–7 years of progressive program management experience is required, with demonstrated leadership in care management, behavioral health integration, or population health settings.
  • A proven track record directing or scaling complex health programs is required, ideally in a Medicaid-heavy or safety-net environment.
  • Experience managing multidisciplinary teams and cross-functional stakeholders in a large, matrixed health care organization is required.
  • Experience managing or influencing program budgets and reporting financial performance to executive leadership is required.
  • Demonstrated ability to engage and manage relationships with New York State regulatory and oversight bodies, including the Department of Health, Office of Mental Health, and social determinants of health-related agencies, is required.
  • Working knowledge of the New York State Medicaid managed care landscape, Care Management Agency structure, and integrated care frameworks is required.
  • Experience navigating managed care plan relationships and participating in payer-level discussions is required.
  • The candidate must be able to represent a health system in state-level forums, collaborative tables, and external partnership negotiations.
  • The candidate must be able to align diverse teams across clinical, operational, and executive functions within Essen.
  • The candidate must be able to build workplans, manage milestones, and drive accountability across teams.
  • The candidate must have financial and analytical acumen, including budgeting, key performance indicator dashboards, and return-on-investment analysis.
  • The candidate must be proficient in electronic health record systems such as eClinicalWorks, Epic, or comparable systems, and patient registry tools.
  • The candidate must demonstrate cultural competence and commitment to serving underserved, multicultural communities.
  • No clinical licensure is required.
  • The role is full-time and on-site in the Bronx, New York; travel to Essen Health Care offices across New York City is required, with some evening or weekend availability potentially needed for program go-lives, audits, or stakeholder meetings.

Responsibilities

  • Develop and execute the strategic plan for the Collaborative Care program, including service expansion, geographic growth across Essen's network, and integration into primary care workflows.
  • Partner with executive leadership to set annual goals, build the operating plan, and forecast resource needs aligned with Essen's Population Health model.
  • Identify and pursue opportunities for program innovation, value-based care contracts, social determinants of health partnerships, and grant funding to support sustainability and growth.
  • Represent Essen's Collaborative Care program at state agency meetings, managed care plan forums, and health plan contract discussions.
  • Serve as the primary liaison to external partners, including New York State Department of Health, Office of Mental Health, social determinants of health-aligned community-based organizations, health plans, and academic affiliates.
  • Navigate state regulatory environments and funding streams relevant to behavioral health integration, including Medicaid managed care, Care Management Agency, and value-based payment initiatives.
  • Manage relationships with managed care organizations, including MetroPlus, HealthFirst, Emblem, and others operating in Essen's service area.
  • Lead payer and community-based organization engagement to align program goals with community health needs and contractual obligations.
  • Build and maintain internal stakeholder relationships across Essen divisions, including Care Management, Facility, Nursing Home, and ACO programs.
  • Oversee day-to-day program operations, including electronic health record utilization, patient registry management, and workflow standardization across sites.
  • Ensure Behavioral Health Care Manager caseloads meet evidence-based standards consistent with a population health approach.
  • Establish and maintain policies, procedures, and care management protocols for systematic case review, warm handoffs, and stepped-care escalation.
  • Lead implementation of new sites, technology rollouts, and workflow redesigns in partnership with operations and information technology.
  • Ensure program operations comply with National Committee for Quality Assurance, Department of Health, Office of Mental Health, and Centers for Medicare & Medicaid Services requirements.
  • Directly supervise staff carrying active caseloads across Collaborative Care and other state- and federally-funded care management programs, including Care Management Agency and Integrated Care Coordination.
  • Recruit, train, supervise, and mentor Behavioral Health Care Managers, Psychiatric Consultants (with clinical oversight delegated), and Integrated Care Coordinators.
  • Monitor caseload distribution, productivity, and documentation compliance across all care management program lines under the Director's oversight.
  • Provide ongoing performance management and professional development planning for the integrated care team.
  • Foster a collaborative, mission-driven team culture aligned with Essen's commitment to underserved communities.
  • Oversee billing and coding processes for Collaborative Care Current Procedural Terminology codes 99492, 99493, 99494, and G2214 in partnership with Revenue Cycle to maximize reimbursement and ensure documentation compliance.
  • Analyze payer contracts and reimbursement rates; partner with contracting leadership to optimize program revenue capture across Medicaid, Medicare, and commercial payers.
  • Develop and manage the annual program budget, monitor variances, and report financial performance to the Senior Vice President and Chief Administrative Officer.

Desired Qualifications

  • Familiarity with Collaborative Care billing, payer regulations, and value-based care frameworks is strongly preferred.
  • Additional certifications in care management, population health, or value-based care are a plus.

About the Company

Essen Health Care

Multi-site primary and specialty care network

Esssen Health Care is a multi-site, integrated healthcare network in New York that delivers primary, urgent, and specialty care, as well as house calls, care management, and nursing home staffing. It serves underserved communities and uses a population health model with value-based payments, including an Accountable Care Organization (ACO). Its EssenMED House Calls program brings primary care and selected specialties directly to patients’ homes, making care more accessible. The network operates across the Bronx, Brooklyn, and Queens with over 350 providers and ties in remote patient monitoring and employer health services. A key differentiator is its home-based care delivery and its program to hire and train international medical graduates to enter the U.S. healthcare system. Its goal is to improve access to high-quality care for Medicaid populations and other underserved patients while controlling costs through coordinated, preventive care and chronic disease management.

Company size
501-1,000
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
1999

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