Assistant Director of Community Based Services

Position Summary

The Assistant Director of Community Based Services reports to the Director of Community Based Services and is responsible for the operational, administrative, and fiscal management of all programs within the Community Based Services Division. This role combines operational coordination, administrative staff supervision, and billing oversight into a single leadership position, working alongside the Director to ensure efficient service delivery and compliance across all CBS service lines.

The Assistant Director oversees day\-to\-day operations across Social Care Network (SCN), Children and Family Treatment and Support Services (CFTSS), and Care Management Agency (CMA) programs. Key responsibilities include staff supervision and performance management, oversight of billing execution for CFTSS and CMA services, HCBS eligibility and LOC support under the CMA program, provider credentialing and onboarding, referral management, training compliance, and MCO coordination. The Assistant Director is responsible for approving billing for CFTSS and CMA services and ensuring the timely submission of all monthly CMA claims. This operational oversight supports accuracy at the point of service delivery and aligns billing with direct supervision of staff and documentation.

The Director of Community Based Services retains responsibility for SCN invoicing, as well as the review and oversight of submitted CMA claims and overall revenue integrity across programs. Maintaining SCN invoicing at the Director level is critical due to the complexity, funding structure, and external reporting requirements associated with SCN, which require higher\-level programmatic and financial oversight.

To maintain operational continuity, the Assistant Director may be required to carry a caseload or provide direct screening/navigation services during staffing shortages or periods of increased demand.

Essential Duties and Responsibilities

· Provide direct supervision to assigned CBS staff, including Care Managers, Community Health Workers, , and contracted CFTSS providers, in accordance with agency policies and governing bodies.

· Establish and maintain consistent supervisory standards, performance expectations, and documentation quality across all service lines.

· Conduct regular individual and group supervision sessions as appropriate.

· Complete performance evaluations and implement performance improvement plans when necessary.

· Support recruitment, onboarding, and workforce development across the division, including coordinating hiring processes in collaboration with the Director of Community Based Services, who reviews and provides resumes for pre\-screening; participating in joint interviews; and leading training and day\-to\-day staff supervision.

· Ensure implementation of structured onboarding plans, with new hires demonstrating competency in documentation standards, billing compliance, and service delivery expectations.

· Assume responsibility for IRAMS reporting in the absence of the Director, including tracking, documenting, and monitoring completion of all required staff trainings and certifications. Assume oversight for the Learning Management System (Relias), including user account management, training plan enrollment, compliance monitoring, and report generation in the absence of the Director.

· Provide operational coverage in the absence of staff and carry a caseload as needed to ensure continuity of care.

· Work closely with the Director to plan and coordinate targeted training initiatives to address documentation deficiencies, compliance risks, and workflow inefficiencies.

· Assist Care Managers with conducting HCBS eligibility determinations for the provision of services and finalize LOC submissions for HCBS eligibility determination in the Universal Assessment System (UAS).

· Ensure Care Management compliance with core service billing standards and decision model complexity requirements.

· Monitor CMA member engagement, timely service delivery, and enrollment/outreach activities.

· Support the ongoing assessment of household siblings for potential eligibility in Health Home and CFTSS services.

· Coordinate with the Director on CMA census\-building strategies, including referral generation and community partnership development.

· Provide backup support for SCN invoicing and reconciliation in the absence of the Director; approve CFTSS Medicaid billing; and ensure accurate and timely Care Management (CM) billing. Ensure accurate, timely, and compliant submission of all Medicaid claims and program invoices.

·

· Collaborate with the Director to reconcile billing discrepancies and mitigate revenue loss.

· Ensure documentation supports all billed services and meets internal, state, and Managed Care audit standards.

· Support audit preparation related to utilization review, billing integrity, and regulatory compliance.

· Review and approve all referrals to the CCF CMA based on appropriateness and eligibility criteria.

· Manage and facilitate monthly MCO and stakeholder meetings as necessary.

· Maintain updated distribution and contact lists for Managed Care Organizations, contracted entities, and community partners.

· Work with the Director to coordinate complaints, grievances, and appeals involving community providers, ensuring adherence to federal and state regulations and timely resolution with Managed Care Plans .

· Generate mailings and maintain all marketing materials for the division.

· Oversee and guide Community Health Workers in completing SCN screenings, identifying social needs, connecting members to community resources, and ensuring the tracking and documentation of referral outcomes.

· Monitor and ensure timely completion of SCN screenings, documentation, referrals, and follow\-up navigation activities.

· Support community outreach efforts to expand screening referral volume and partnerships with community\-based organizations, schools, and healthcare providers.

· The AD assists with data collection or providing analysis at a more granular level and implements day\-to\-day operational adjustment based on guidance from the Director. Supporting the Director by reporting trends and recommending changes, but not necessarily leading high\-level decision\-making or adjustments.

·

· Collaborate with Quality Assurance to ensure documentation quality and regulatory adherence.

· Identify training needs and performance trends through analysis of supervision themes, audit findings, and billing reviews.

· Prepare responses to regulatory agencies and payors as assigned.

· Ensure timely reporting and resolution of incidents.

General

· Represent CCF in meetings with Managed Care Organizations and community stakeholders as assigned.

· Foster a positive, inclusive, and collaborative environment that supports accountability, continuous learning, and shared responsibility for outcomes.

· Manage time effectively and prioritize workload to meet the evolving needs of the division.

· Stay informed on best practices through ongoing training and professional development, including emerging trends in social determinants of health and community resource navigation.

· Perform special projects and additional responsibilities as assigned by the Director of Community Based Services or executive leadership.

Qualifications

· Master’s degree in Healthcare Administration, Public Health, Public Administration, or a related field required.

· Minimum of 5 years of experience in Medicaid\-funded community\-based programs.

· Experience with Medicaid billing processes and revenue cycle compliance preferred.

· Working knowledge of the health and behavioral health care industry in New York State.

· Familiarity with MAPP, UAS, electronic health records, and Medicaid billing platforms preferred.

· Strong organizational, analytical, and leadership skills.

· Excellent verbal and written communication skills.

· Computer literacy, specifically Microsoft Word, Outlook, Excel, and data reporting tools.

· Ability to work directly with a multidisciplinary care team of professionals and paraprofessionals.

· Applicants must demonstrate trustworthiness as a prerequisite for independent work. This position may require in\-person visits; candidates must be able to travel via car or public transportation.

Key Competencies \& Interpersonal Skills

· Strong operational leadership with the ability to manage multiple service lines simultaneously while maintaining compliance and fiscal integrity.

· High level of analytical capability with ability to interpret performance data, identify trends, and implement corrective strategies.

· Strong fiscal accountability and understanding of Medicaid billing and documentation standards.

· Ability to lead through supervision, coaching, and performance management while fostering accountability and professional growth.

· Effective communicator with the ability to engage staff, community partners, and multidisciplinary teams.

· Demonstrates cultural competence and maintains a strength\-based, trauma\-informed approach.

· Uses a strength\-based, culturally sensitive approach when working with children, families, and staff.

· Accepts and applies feedback constructively to improve service delivery.

· Works effectively in a team environment and builds collaborative relationships.

· Skilled in conflict resolution, problem\-solving, and performance improvement planning.

· Demonstrates integrity, discretion, and commitment to agency mission and compliance standards.

Working Conditions

This position is remote with occasional in\-person meetings as required. Staff must have access to a reliable internet connection and a private, professional space to conduct phone and video\-based interactions with members, caregivers, and providers. In periods of staffing shortages or operational necessity, the Assistant Director may carry an active caseload or provide direct screening/navigation services, which may require community\-based visits.

Pay: $75,000\.00 \- $80,000\.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Work Location: Remote