WHO WE ARE

Concert Health is a mission-driven Behavioral Health Medical Group bringing evidence-based behavioral health services to primary care practices and organizations across the country. Through outcome-driven clinical work, we are making great strides in increasing accessibility to behavioral healthcare for the patients who need it the most.
Concert Health helps primary care providers deliver exceptional, reimbursable, and integrated behavioral health services to their patients. We provide primary care partners with a comprehensive Collaborative Care solution - therapists as care managers, psychiatric providers as consultants, and the progressive technology needed to treat their patients. Our remote team provides evidence-based interventions to promote accurate diagnoses, symptom reduction, treatment plans, and optimal patient outcomes.

QUALIFICATIONS:

• 4-5+ years in healthcare operations, service line leadership, or business unit ownership; experience in behavioral health and primary care integration required.
• Proven ability to build and scale new clinical care models.
• Strong understanding of Medicare fee schedules, coding, and reimbursement for behavioral health and psychiatric services.
• Experience partnering with Revenue Cycle and payer contracting teams to optimize reimbursement.
• Project and Product mindset: demonstrated experience owning a project plan and/or roadmap and collaborating with various teams, including engineering/IT, to deliver clinical workflow solutions within an EHR and other technology platforms.
• Financial acumen, including modeling unit economics, pricing, and full P&L management.
• Skilled in stakeholder management, change leadership, and cross-functional collaboration.
• Bachelor’s degree required; MBA, MHA, MPH, or equivalent experience preferred.

ABOUT THE ROLE

We are expanding into new and innovative clinical service lines that will transform how care is delivered and experienced. The General Manager (GM) will play a critical role in driving growth for Concert Health and will be responsible for shaping, launching, and scaling new programs from concept to operational execution. This role requires an experienced leader with demonstrated ability to manage multiple functions, including: market opportunity analysis, strategic planning, financial forecasting, project management, stakeholder communication, cross-functional assessments and execution. The General Manager will design and operationalize new and innovative clinical service lines that meet market demand and expand partnerships with high quality, specialty service providers. The GM will bring together strategic vision, operational execution, and cross-functional alignment to deliver services that integrate with cutting edge digital mental health applications and set a new standard in accessibility, quality, and patient engagement.

RESPONSIBILITIES:

Strategy & P&L

• Design a clear and actionable strategic vision with program goals, project objectives and a detailed roadmap for new program initiatives.
• Create business cases, including financial projections, resource requirements, pricing models and risk assessments for new programs
• Define business objectives to execute the multi-year strategy of new program initiatives.
• Align the program objectives with overall company goals and market opportunities
• Stay abreast of emerging trends, customer needs and competitive landscapes to continuously inform new program development
• Manage P&L focused on aligning budget and resource needs with growth targets and margin expectations

Clinical Model Development and Execution

• Design and operationalize workflows with clear clinical care pathways
• Coordinate cross-functionally with multiple departments to ensure successful program development and implementation adhering to high clinical quality standards
• Lead the entire program development process from strategy to launch
• Define objectives, budget targets, key performance indicators and success metrics to measure program impact and effectiveness
• Develop reimbursement models for new programs that optimize Medicare and commercial payer opportunities.
• Partner with Revenue Cycle to ensure accurate charge capture, coding compliance, prior authorization processes, and effective denial management.
• Lead payer strategy, including negotiating competitive rates and exploring value-based or case-rate models.Build sustainable billing approaches for services such as the Collaborative Care Model (CoCM) and Behavioral Health Integration (BHI).

Product & Technology Enablement

• Work with the Product team to develop the product roadmap for the service, including scheduling, documentation workflows, collaborative care registries, analytics, referral management, and outcomes tracking.
• Evaluate and implement technology solutions (e.g., care management tools, telepsychiatry platforms, EHR integrations) against industry trends and best practices to enable technological advancement and operational efficiency

Stakeholder Leadership

• Effectively communicate program strategies, progress and performance outcomes to executive leadership and all relevant stakeholders through clear reporting and strategic updates.
• Represent Concert Health to external stakeholders when appropriate, including customer meetings, conferences and industry events.