Director, HARP Care Management

The Director HARP (Health and Recovery Plan) Care Management is a visionary and strategic leader who oversees the design, delivery, and integration of physical and behavioral health care management for a population of HARP members with complex mental health, substance use, and chronic medical needs. This high-impact role is at the forefront of advancing our whole-person care model and driving transformation in how we deliver equitable, member-centered care. The Director guides a multidisciplinary team including licensed clinical social workers and registered nurses while playing a pivotal role in bridging clinical operations, population health analytics, and value-based performance strategy. As a member of the Behavioral Health leadership team, the Director is positioned as a key leader deeply involved in organizational planning, innovation, and policy leadership. Duties/Responsibilities: Lead, mentor, and support the HARP Care Management team, ensuring high clinical quality, member satisfaction, and employee engagement Drive innovation in integrated care models that align with NYS Medicaid requirements and Healthfirst’s quality and value-based care goals Champion initiatives that elevate the integration of behavioral health with physical health and social determinant support services Design and implement efficient and effective clinical programs, workflows, and policies that address the comprehensive needs of HARP members, including transitions of care and housing support Evaluate program outcomes, identify gaps in care, and implement performance improvement strategies using clinical, utilization, and quality data Partner with departments across Healthfirst, including Medical Management, Population Health, Clinical Quality, Delivery Systems Engagement (DSE), and Analytics & Reporting, to ensure coordination of member care Serve as the clinical subject matter expert on business development efforts related to behavioral health programs, including the launch of new products or regulatory initiatives Act as a public-facing clinical leader with community partners, state agencies, and provider organizations Represent Healthfirst on local, state, and industry workgroups, helping to shape behavioral health best practices Ensures all NY state and federal compliance, audit and regulatory requirements are met Perform other duties as necessary or assigned Minimum Qualifications: NYS license as a Psychiatric-Mental Health Nurse Practitioner (PMHNP), or Licensed Clinical Social Worker (LCSW), or Licensed Master Social Worker (LMSW) 7 years of behavioral health experience in managed care and/or a clinical setting with at least 2 years of that experience being in managed care Progressive leadership experience in medical and behavioral health care management including work experience in a senior management role Work experience and deep familiarity with New York State HARP, HCBS, and Medicaid Managed Care programs Preferred Qualifications: Clinical and leadership experience as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) Proven ability to lead complex teams and manage interdisciplinary care models in a health plan or integrated delivery system Demonstrated experience with regulatory compliance, clinical quality improvement, and care management Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint) and ability to leverage data to inform strategy Exceptional written, verbal, and presentation skills; capable of influencing internal and external stakeholders Strategic thinker with strong operational discipline and capacity for executive-level decision-making WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $150,800 - $230,690 All Other Locations (within approved locations): $124,400 - $190,315 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role. Healthfirst is New York’s largest not-for-profit health insurer offering it’s nearly 1.7 million members access to high-quality, affordable healthcare. As part of the community for nearly 30 years, Healthfirst’s unique advantage is rooted in its belief that good health doesn’t start in a doctor’s office. The company’s mission is to put its members first by working closely with care providers and community leaders to address broader issues that can impact health and well-being. This value-based care model is the foundation of the company’s sustained growth in one of the most dynamic markets in the country. So, if you are passionate about what you do and want to work for a company that is focused on the future and dedicated to making a difference in people’s lives, then Healthfirst is for you. Click here to navigate back to the career site!

Salary : $124,400 - $190,315