Director, Liability Claims overseeing medical professional and general liability claims for hospitals. Responsible for investigation, evaluation, and resolution of claims and managing claims litigation.
About the role
- Director level position at Pacific Health Group leading Behavioral Health Programs within integrated care model. Overseeing programs, compliance, and achieving measurable outcomes for underserved communities.
Responsibilities
- Provide executive oversight of all Behavioral Health programs.
- Integrate Behavioral Health services with ECM, Community Supports, Street Medicine, and care coordination programs.
- Develop and execute strategic growth initiatives aligned with managed care partnerships.
- Oversee clinical quality metrics, performance indicators, and continuous improvement efforts.
- Direct staffing models, productivity benchmarks, and financial performance.
- Ensure compliance with federal, state, and managed care regulations.
- Recruit, mentor, and retain high-performing clinical and administrative leaders.
Requirements
- Master’s or Doctoral degree in Behavioral Health, Social Work, Psychology, Counseling, Healthcare Administration, or related field.
- Active clinical license in good standing (LCSW, LMFT, LPCC, PsyD, PhD, or equivalent), where applicable.
- Minimum of two (2) years of current experience serving as a Director overseeing an active Behavioral Health program.
- Minimum five (5) years of experience in a leadership role with direct reports
- Demonstrated expertise in program operations, budget oversight, regulatory compliance, and team leadership.
- Strong knowledge of behavioral health billing, payer models, and value-based care environments.
- Experience in integrated care or multi-site program management.
- Experience within CalAIM, ECM, Community Supports, or Medicaid-based models.
- Proven track record of program growth and measurable clinical outcomes.
- Experience serving diverse and underserved populations.
Benefits
- 160 hours of Paid Time Off (PTO) and Paid Sick Time; 11 paid holidays per year (including birthday); 4 paid volunteer hours per month; Bereavement leave (including fur babies).
- 90% employer-paid employee-only medical benefits; Flexible Spending Account (FSA); Short-term & long-term disability, AD&D, and Employee Assistance Program (EAP).
- 401(k) with company match; Professional development and growth opportunities.
- Employee discount programs and quarterly in-person events.
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