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We are launching a brand-new Behavioral Health Service Organization (BHSO) in Knott County, KY , featuring a specialized Therapeutic Rehabilitation Program (TRP) co-located within an established 80-bed Personal Care Home. Phase One of this role is highly focused and execution-driven: Your immediate objective is to spearhead the state licensing process and insurance credentialing workflows to get our doors open.

Full Autonomy & Operational Control:

Once operational, you will have full clinical and operational control over the entire program. You will have a blank slate to build the organization your way, including complete authority over talent acquisition, hiring, and staffing structures (such as recruiting your Program Director and LCSWs). Key Responsibilities Licensure & Launch (Immediate Focus): Personally manage and execute the end-to-end application process for the initial Kentucky Office of Inspector General (OIG) BHSO license (902 KAR 20:430).

State & Local Liaison:

Coordinate with the Kentucky State Fire Marshal, local building officials, and OIG health inspectors to secure physical plant approvals.

Medicaid Enrollment:

Manage the provider enrollment process through the Kentucky Medicaid Partner Portal Application (MPPA) for Provider Type 03 status.

MCO Contracting:

Negotiate and secure in-network provider contracts with all active Kentucky Medicaid Managed Care Organizations (Aetna, Anthem, Humana, Passport/Molina, WellCare).

Full Clinical & Staffing Control:

Post-launch, direct all clinical programming and build your team from scratch. You will hold final say over the hiring of all clinical, administrative, and peer support staff.

Financial Command:

Take full ownership of the annual operating budget, revenue cycle management (RCM), and overall profit and loss (P&L) as an equity partner.

Qualifications & RequirementsEducation:

Master's degree in Healthcare Administration (MHA), Business Administration (MBA), Public Health (MPH), or a Master's degree in a clinical behavioral health field (MSW, Counseling) with a heavy business management background.

Experience & Skills:

Minimum of 5 years of senior administrative leadership experience in a healthcare facility, hospital network, or behavioral health organization. Proven, documented track record of successfully navigating Kentucky OIG healthcare licensing and/or state Medicaid provider enrollment processes ( Required ). Strong experience managing budgets over $1M and overseeing multi-tier employee structures. Expert knowledge of the Kentucky behavioral health landscape, including DMS regulations, MCO billing structures, and 902 KAR 20:430 requirements. Must pass a mandatory Kentucky continuous fingerprint background check (KARES) and central registry check. Benefits & Compensation Breakdown We believe in heavily rewarding speed, precision, and partnership.

Your compensation package includes:

Competitive Base Salary:

$90,000 - $140,000 (Commensurate with experience and licensure). 10%

Equity Stake:

Vesting automatically once the BHSO is fully licensed by the OIG and actively operating. $35,000 Performance Bonus Pool tied directly to start-up milestones: $5,000 upon successful OIG Application submission. $7,500 upon receiving your physical OIG License. $5,000 upon Kentucky MPPA Medicaid Portal activation. $10,000 upon securing major MCO In-Network contracts. Additional $5,000 \"Claw-Forward\" efficiency bonus if Milestones 1-4 are achieved in under 6 months. Comprehensive healthcare benefits package (Medical, Dental, Vision). Paid Time Off (PTO) and paid holidays. If you are a compliance-minded, aggressive leader who wants to transition from being an employee to an executive partner with full clinical control, this is your opportunity. Apply today to lead our launch in Knott County!

Pay:

$90,000.00 - $140,000.00 per year

Benefits:

Health insurance Paid time off

Work Location:

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Find & Apply For Healthcare Administrator Jobs in Pippa Passes, Kentucky

Executive Director Healthcare / Behavioral Health (Start-Up BHSO)