Business Operations Manager

JOB DESCRIPTION

PAY GRADE: E7

FLSA STATUS:
Exempt

DEPARTMENT:
Taos Pueblo Behavioral Health

REPORTS TO:

Behavioral Health Senior Program Manager

Oversees and administers the internal operations of the Taos Pueblo Behavioral Health Department, in support of key departmental leadership. Ensures efficient internal operations and supports the Behavioral Health Department through coordination of credentialing and licensing, billing, building operations, and department communication, documentation and workflow. This position description may not include all the listed duties, nor do all the listed examples include all tasks which may be found or assigned to this position.

• Supports the integrated administrative needs of the Taos Pueblo Behavioral Health Department, including oversight of credentialing, licensing, billing and coding processes, as well as operational tasks related to budgeting, inventory and fleet management.
• Oversees and coordinates the credentialing and licensing process for Taos Pueblo Behavioral Health clinical providers, in accordance with accreditation standards, federal and state laws, and tribal policies.
• Evaluates data entered into centralized fee and billing systems, such as EMR-Bear, CPT and HCPCS Coding, to ensure accuracy, integrity and completeness.
• Manages departmental financial processes in accordance with all applicable rules, regulations, policies and procedures; coordinates with Taos Pueblo Finance to manage memos of understanding, partnership agreements, behavioral health contracts, purchasing orders and invoicing.
• Coordinates clinical billing procedures, resolves claim disputes, assesses inpatient costs, and prepares information and reports regarding billing procedures for external auditors, as needed.
• Compiles data pertaining to emergency response services, clinical performance, productivity, and patient outcomes; prepares information for reporting to the New Mexico Health Care Authority (NM HCA) regarding the delivery of Medicaid services as a contracted Managed Care Organization (MCO).
• Evaluates, develops, implements and refines administrative processes, policies and procedures; monitors workflows and identifies areas for improved efficiency and resource allocation.
• Coordinates the ongoing maintenance and deployment of the Behavioral Health vehicle fleet; monitors preventative maintenance schedules and tracks vehicle assignments.
• Orders supplies, equipment and materials for department programs and offices, in accordance with all applicable tribal policies and procedures.
• Ensures all facility needs are addressed in a timely manner by coordinating work order requests and repairs with tribal departments and/or external vendors and contractors.
• Interfaces with various tribal departments and external agencies to support the administrative operations of the Behavioral Health Department, such as law enforcement, Finance, HR, Probation and Parol, Tribal Courts, Detention Center, and others.
• Maintains an organized systems for records, documentation and internal communications.
• Assists with budget planning, financial reporting, audit preparation and documentation, as needed.
• Ensures the Behavioral Health Departments’ administrative practices comply with all Tribal policies, federal regulations, confidentiality protocols, grant requirements and other applicable rules, regulations, policies and procedures.
• Aligns administrative practices with the Taos Pueblo’s cultural values and supports respectful and culturally appropriate communications with community members.
• May supervise, direct, train and lead lower-level support staff.
• Performs other duties as assigned.

Provides orientation, training, coaching and feedback to employees, reviews and checks work, and provides input on hiring, task delegation, budgeting, planning, performance evaluation, promotion, discipline and termination.