Clinic Manager

Minnesota Mental Health Solutions LLC

Clinic Manager

Eden Prairie, MN
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k) matching

    Competitive salary

    Paid time off

    About Minnesota Mental Health Solutions

    Minnesota Mental Health Solutions is a leading provider of Applied Behavior Analysis (ABA) therapy and Early Intensive Developmental and Behavioral Intervention (EIDBI) services, serving children and adolescents with Autism Spectrum Disorder and related developmental disabilities throughout the Twin Cities metropolitan area. Our state-of-the-art clinic in Eden Prairie, Minnesota, serves as the hub of our clinical operations, providing comprehensive assessment, individualized therapy, family training, and coordinated care services.

    We are dedicated to clinical excellence, regulatory compliance, operational efficiency, and exceptional customer service. Our multidisciplinary team includes Board Certified Behavior Analysts (BCBAs), Licensed Behavior Analysts (LBAs), Behavior Analysts (BAs), Registered Behavior Technicians (RBTs), administrative professionals, and support staff—all working collaboratively to deliver evidence-based interventions that create meaningful, lasting change in the lives of the children and families we serve.

    At Minnesota Mental Health Solutions, we believe that exceptional clinical outcomes are built on a foundation of strong operational systems, compliant business practices, effective team coordination, and a culture of continuous improvement. We are seeking a highly skilled, detail-oriented, and strategic Clinic Manager to lead our operational excellence and ensure our clinic runs seamlessly while maintaining the highest standards of regulatory compliance and customer satisfaction.

    Position Overview

    The Clinic Manager is a critical leadership position responsible for overseeing all non-clinical operations of Minnesota Mental Health Solutions' clinic facility and administrative infrastructure. This role serves as the operational backbone of the organization, managing day-to-day business operations, regulatory compliance, financial administration, human resources functions, facilities management, technology systems, billing and revenue cycle management, client relations, and quality assurance processes.

    The Clinic Manager works in close partnership with the Managing ABA Supervisor and clinical leadership team to ensure operational systems support clinical excellence, staff productivity, family satisfaction, and sustainable business growth. This position requires an exceptional leader who can balance multiple priorities, think strategically, solve problems proactively, maintain meticulous attention to regulatory compliance, and create efficient systems that allow clinical staff to focus on delivering outstanding patient care.

    The ideal candidate is a highly organized, mission-driven professional with healthcare management experience, deep knowledge of Minnesota Department of Human Services (DHS) regulations, expertise in medical billing and insurance operations, strong financial acumen, and outstanding interpersonal skills. This individual thrives in fast-paced environments, demonstrates unwavering integrity, embraces accountability, and is passionate about building operational infrastructure that enables transformative clinical outcomes.

    This is a full-time, salaried leadership position offering competitive compensation, comprehensive benefits, professional development opportunities, and the chance to shape the operational foundation of a growing, mission-driven organization.

    Key Responsibilities

    Regulatory Compliance & Quality Assurance

    Serve as the primary compliance officer for Minnesota Mental Health Solutions, ensuring 100% adherence to all Minnesota Department of Human Services (DHS) regulations governing EIDBI services, including:

    Provider enrollment and credentialing: Maintain active enrollment status with Minnesota DHS, ensure all clinical and administrative staff meet DHS qualification requirements, and maintain current credentialing files

    Background studies (Minnesota Statutes Chapter 245C): Coordinate and document all required background studies for employees, volunteers, and contractors; maintain compliant personnel files; track background study expiration dates and initiate renewals

    Personnel file compliance: Ensure all employee files contain required documentation including applications, reference checks, credential verification, job descriptions, performance evaluations, training records, supervision logs, and disciplinary actions

    Service authorization and utilization management: Track service authorizations, monitor unit utilization, coordinate reauthorization requests, and ensure services are delivered within approved parameters

    Clinical documentation standards: Ensure all Individual Treatment Plans (ITPs), progress notes, supervision logs, assessment reports, and discharge summaries meet DHS documentation requirements

    Supervision ratio compliance: Monitor and document that clinical supervision meets the required 1:16 ratio (one hour of supervision per 16 hours of direct treatment)

    Informed consent and family rights: Maintain compliant informed consent processes, family rights notifications, grievance procedures, and appeals processes

    Cultural competency and language access: Ensure availability of interpretation services, translated materials, and culturally responsive practices for diverse populations

    Incident reporting and management: Establish and maintain incident reporting systems, conduct root cause analyses, implement corrective action plans, and report incidents to DHS as required

    Prepare for and coordinate DHS audits and site visits, including:

    Conducting internal mock audits on a quarterly basis to identify and remediate compliance gaps

    Organizing and maintaining audit-ready documentation systems for personnel files, clinical records, billing documentation, and policy manuals

    Serving as primary point of contact for DHS auditors, licensing specialists, and regulatory inspectors

    Developing and implementing corrective action plans in response to audit findings

    Documenting all audit activities and maintaining records of compliance improvements

    Develop, implement, and maintain comprehensive policies and procedures covering:

    Human resources practices (recruitment, onboarding, performance management, discipline, termination)

    Clinical operations and service delivery protocols

    Billing and revenue cycle management

    Confidentiality, HIPAA, and data security

    Emergency response and crisis management

    Facilities management and safety protocols

    Quality improvement and customer service standards

    Monitor regulatory changes from Minnesota DHS, federal agencies, BACB, and insurance payers; update policies, procedures, and training materials accordingly

    Maintain all required business licenses and permits, including:

    Minnesota DHS EIDBI provider enrollment

    Business licenses and registrations

    Professional liability insurance

    Workers' compensation insurance

    Facility liability insurance

    CAQH provider enrollment and credentialing updates

    Implement and oversee quality assurance programs, including:

    Regular audits of clinical documentation, billing accuracy, and compliance metrics

    Customer satisfaction surveys and feedback mechanisms

    Key performance indicator (KPI) tracking and reporting

    Continuous quality improvement initiatives

    Billing, Revenue Cycle Management & Financial Operations

    Oversee all aspects of billing and revenue cycle management to ensure accurate, timely, and compliant claims submission and payment collection, including:

    Insurance verification and eligibility: Verify client insurance coverage, benefits, authorization requirements, and eligibility for EIDBI services prior to service initiation

    Prior authorization management: Coordinate submission of authorization requests, track authorization status, monitor authorization expirations, and initiate reauthorization requests 45-60 days prior to expiration

    Claims submission and processing: Ensure accurate and timely submission of claims for all CPT codes (97153, 97155, 97156, 97157, H0046) with appropriate documentation, modifiers, and diagnosis codes

    Denial management and appeals: Review denied claims, identify denial reasons, implement corrective actions, submit appeals with supporting documentation, and track appeal outcomes

    Payment posting and reconciliation: Post payments, reconcile accounts receivable, identify payment discrepancies, and follow up on outstanding balances

    Accounts receivable management: Monitor aging reports, prioritize collection activities, communicate with payers regarding payment delays, and escalate unresolved issues

    Patient billing and collections: Issue patient statements for co-pays, deductibles, and coinsurance; establish payment plans when appropriate; follow up on outstanding patient balances

    Revenue reporting and analysis: Generate monthly revenue reports, analyze collection rates, identify revenue cycle bottlenecks, and implement process improvements to optimize cash flow

    Maintain relationships with insurance payers, including:

    Medical Assistance (Medicaid) programs

    Managed Care Organizations (UCare, Blue Plus, Medica, HealthPartners, Hennepin Health, PrimeWest Health)

    Commercial insurance carriers

    Employee Assistance Programs (EAPs)

    Collaborate with billing software vendors and clearinghouses to troubleshoot claim submission issues, implement electronic claim submission processes, and optimize revenue cycle technology

    Manage clinic budget and financial operations, including:

    Developing annual operating budgets in collaboration with executive leadership

    Monitoring monthly expenses against budget projections

    Approving expenditures within authorized limits

    Tracking payroll, benefits, and staffing costs

    Managing vendor relationships and negotiating contracts for supplies, equipment, and services

    Identifying cost-saving opportunities while maintaining service quality

    Prepare financial reports and presentations for executive leadership, board of directors, and external stakeholders, including:

    Monthly profit and loss statements

    Revenue and collection rate analysis

    Expense tracking and variance reports

    Cash flow projections

    Key financial performance indicators

    Human Resources Management & Staff Support

    Lead all human resources functions for clinical and administrative staff, including:

    Recruitment and hiring: Develop job postings, screen resumes, coordinate interviews, conduct reference checks, extend offers, and manage pre-employment processes (background studies, I-9 verification, credential verification)

    Onboarding and orientation: Conduct comprehensive new employee orientation covering agency policies, DHS regulations, HIPAA compliance, emergency procedures, benefits enrollment, and administrative systems

    Personnel file management: Maintain compliant employee files containing all required documentation, conduct regular file audits, and ensure confidentiality of personnel records

    Performance management: Coordinate annual performance evaluations in partnership with clinical supervisors, document performance issues, develop performance improvement plans, and administer disciplinary actions when necessary

    Employee relations: Address employee concerns, mediate conflicts, investigate complaints, and maintain a positive, respectful work environment

    Termination processes: Conduct exit interviews, process final paychecks, retrieve company property, deactivate system access, and document termination reasons

    Manage payroll and timekeeping systems, including:

    Reviewing and approving timesheets for accuracy and compliance

    Ensuring proper coding of billable vs. non-billable time

    Processing payroll in coordination with payroll service provider

    Tracking paid time off (PTO) accruals and usage

    Managing overtime authorization and tracking

    Ensuring compliance with wage and hour laws (FLSA)

    Administer employee benefits programs, including:

    Coordinating benefits enrollment for new hires

    Managing open enrollment processes

    Serving as liaison with benefits brokers and insurance carriers

    Educating employees about benefits options and eligibility

    Processing qualifying life event changes

    Managing COBRA administration for terminated employees

    Oversee training and professional development, including:

    Coordinating mandatory DHS training requirements (cultural competency, HIPAA, mandated reporting, etc.)

    Scheduling continuing education opportunities for clinical staff

    Tracking CEU completion and credential renewal deadlines (BCBA, LBA, RBT certifications)

    Maintaining training records and certificates

    Maintain workers' compensation and workplace safety programs, including:

    Coordinating workers' compensation claims and return-to-work processes

    Conducting safety inspections and risk assessments

    Ensuring compliance with OSHA regulations

    Managing workplace injury reporting and documentation

    Facilities Management & Operations

    Oversee all aspects of clinic facility management, including:

    Space planning and utilization: Optimize therapy room assignments, ensure adequate space for clinical activities, and plan for facility expansion as needed

    Safety and security: Maintain secure premises with appropriate access controls, security systems, emergency exits, and visitor management protocols

    Maintenance and repairs: Coordinate routine maintenance, emergency repairs, equipment servicing, and facility improvements with vendors and contractors

    Cleaning and sanitation: Ensure clinic maintains high standards of cleanliness, infection control, and sanitation in compliance with health department requirements

    Equipment and supplies: Manage inventory of clinical materials, office supplies, technology equipment, furniture, and therapeutic tools; negotiate vendor contracts; process purchase orders; and monitor supply budgets

    ADA compliance: Ensure facility meets Americans with Disabilities Act (ADA) accessibility requirements for clients and employees

    Emergency preparedness: Develop and maintain emergency response plans, conduct fire drills, maintain emergency supplies, and train staff on emergency procedures

    Manage clinic technology infrastructure, including:

    Electronic Health Record (EHR) system: Administer EHR platform (Central Reach, Catalyst, or similar), manage user accounts, troubleshoot technical issues, coordinate system updates, and ensure data security

    Data collection and billing software: Ensure clinical and administrative staff are trained on technology systems and provide ongoing technical support

    HIPAA-compliant communication systems: Manage secure email, phone systems, fax systems, and telehealth platforms

    IT support and cybersecurity: Coordinate with IT vendors for technical support, data backups, cybersecurity measures, and HIPAA compliance

    Manage telecommunications and office systems, including phones, internet, copiers, printers, and office equipment

    Client Relations & Customer Service Excellence

    Serve as primary point of contact for families seeking services, including:

    Intake coordination: Respond to new client inquiries, explain services offered, verify insurance coverage, schedule initial assessments, and guide families through enrollment process

    Insurance verification: Complete insurance eligibility checks, explain benefits and out-of-pocket costs to families, and obtain necessary authorizations before service initiation

    Waitlist management: Maintain organized waitlist system, communicate timelines to families, prioritize admissions based on clinical need and resource availability

    Scheduling coordination: Coordinate client schedules with clinical staff availability, manage schedule changes, address cancellations and no-shows, and optimize clinic capacity utilization

    Ensure exceptional customer service throughout the client experience, including:

    Responding to family inquiries, concerns, and complaints in a timely, empathetic, and solution-focused manner

    Resolving billing questions and payment issues

    Coordinating transportation accommodations or community-based services when requested

    Following up with families to assess satisfaction and address emerging needs

    Manage client records and documentation, including:

    Maintaining secure, confidential client files in compliance with HIPAA and DHS requirements

    Tracking consent forms, insurance information, emergency contacts, and service agreements

    Coordinating release of information requests and records transfers

    Ensuring archival and destruction of records according to legal retention requirements

    Implement customer satisfaction measurement systems, including:

    Conducting regular satisfaction surveys with families

    Analyzing feedback to identify service improvement opportunities

    Reporting satisfaction metrics to leadership and implementing quality improvement initiatives

    Coordinate with external stakeholders, including:

    County case managers and social workers

    School district representatives and IEP teams

    Medical providers and specialists

    Insurance care coordinators and utilization reviewers

    Community service providers and referral sources

    Administrative Leadership & Team Management

    Lead and supervise administrative staff, including:

    Office coordinators, receptionists, and front desk personnel

    Billing specialists and revenue cycle staff

    Scheduling coordinators

    Administrative assistants

    Foster a positive, collaborative work culture that values:

    Accountability and ownership

    Continuous improvement and innovation

    Customer service excellence

    Ethical practice and integrity

    Teamwork and mutual respect

    Conduct regular staff meetings with administrative team to communicate updates, address challenges, celebrate successes, and promote professional development

    Develop and implement operational workflows and systems that promote efficiency, reduce errors, minimize redundancies, and support clinical staff productivity

    Serve as liaison between administrative and clinical departments, facilitating communication, resolving interdepartmental conflicts, and ensuring alignment on organizational goals

    Strategic Planning & Business Development Support

    Collaborate with executive leadership on strategic planning initiatives, including:

    Identifying opportunities for service expansion, new programs, or additional locations

    Analyzing market trends, competitor landscape, and community needs

    Developing operational plans to support business growth

    Participating in grant applications and funding opportunities

    Support business development and marketing activities, including:

    Coordinating community outreach events and presentations

    Developing marketing materials and maintaining website content

    Tracking referral sources and conversion rates

    Building relationships with referral partners (pediatricians, schools, advocacy organizations)

    Implement key performance indicator (KPI) tracking systems, including:

    Client census and utilization rates

    Staff productivity and billable hours

    Revenue and collection metrics

    Customer satisfaction scores

    Staff retention and turnover rates

    Compliance audit outcomes

    Prepare operational reports and presentations for executive leadership, board meetings, and strategic planning sessions

    Data Management & Reporting

    Oversee data integrity and reporting systems, including:

    Ensuring accurate data entry across all administrative and clinical systems

    Generating monthly operational reports for leadership review

    Tracking and reporting regulatory metrics for DHS compliance

    Maintaining dashboards for real-time visibility into key operational metrics

    Conducting data quality audits to identify and correct errors

    Prepare required reports for external stakeholders, including:

    DHS compliance reports

    Insurance utilization reports

    Grant deliverables and outcome reports

    Accreditation documentation (if applicable)

    Required Qualifications

    Education

    Bachelor's degree required in Healthcare Administration, Business Administration, Public Health, Human Resources, or related field

    Master's degree strongly preferred in Healthcare Management, MBA, MHA, or related discipline

    Experience

    Minimum 5 years of progressively responsible management experience in healthcare, behavioral health, ABA/autism services, or related clinical setting

    Minimum 3 years of experience managing billing, revenue cycle operations, and insurance authorization processes in a healthcare environment

    Proven experience with Minnesota Department of Human Services (DHS) regulations, EIDBI services, Medical Assistance (Medicaid) billing, and managed care operations

    Demonstrated experience managing regulatory compliance, preparing for audits, and implementing corrective action plans

    Strong background in human resources management, including recruitment, onboarding, performance management, and employee relations

    Experience managing budgets, financial reporting, and operational expenses of at least $1-2 million annually

    Track record of building efficient operational systems, implementing process improvements, and driving quality initiatives

    Experience with Electronic Health Record (EHR) systems and healthcare billing software (Central Reach, Catalyst, Rethink, or similar platforms preferred)

    Regulatory & Compliance Expertise

    Comprehensive knowledge of Minnesota Department of Human Services (DHS) EIDBI regulations, including:

    Provider enrollment and credentialing requirements

    Background study requirements and personnel file compliance (Minnesota Statutes Chapter 245C)

    Service authorization and utilization management protocols

    Documentation and clinical record-keeping standards

    Incident reporting and critical event management

    Family rights, grievance procedures, and appeals processes

    Cultural competency and language access requirements

    In-depth understanding of medical billing and coding, including:

    CPT code utilization for ABA/EIDBI services (97153, 97155, 97156, 97157, H0046)

    ICD-10 diagnosis coding for autism and developmental disabilities

    Modifier usage and billing guidelines

    Claims submission processes and electronic data interchange (EDI)

    Denial management and appeals processes

    Strong knowledge of insurance authorization processes, including:

    Medical Assistance (Medicaid) eligibility and benefits

    Managed Care Organization (MCO) protocols (UCare, Blue Plus, Medica, HealthPartners, Hennepin Health, PrimeWest)

    Commercial insurance verification and authorization

    Prior authorization submission and tracking

    Reauthorization timelines and documentation requirements

    Thorough understanding of HIPAA privacy and security regulations, including:

    Protected Health Information (PHI) handling and confidentiality

    Business Associate Agreements (BAAs)

    Breach notification and incident response

    HIPAA-compliant communication and technology systems

    Knowledge of employment law and human resources compliance, including:

    Fair Labor Standards Act (FLSA) wage and hour regulations

    Equal Employment Opportunity (EEO) and anti-discrimination laws

    Family and Medical Leave Act (FMLA)

    Americans with Disabilities Act (ADA)

    Minnesota employment regulations

    Technical Skills & Competencies

    Advanced proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), including:

    Excel for financial analysis, budgeting, data reporting, and pivot tables

    Word for policy development and documentation

    PowerPoint for presentations and training materials

    Experience with Electronic Health Record (EHR) and practice management software, such as:

    Central Reach, Catalyst, Rethink, or similar ABA-specific platforms

    Claims submission and clearinghouse systems

    Scheduling and calendar management tools

    Familiarity with accounting and financial software (QuickBooks, Sage, or similar)

    Proficiency with HRIS (Human Resources Information Systems) and payroll platforms

    Strong data analysis and reporting skills, with ability to interpret financial statements, operational metrics, and compliance reports

    Leadership & Interpersonal Skills

    Exceptional leadership and management abilities, including:

    Proven ability to build, develop, and retain high-performing administrative teams

    Strong coaching and mentoring skills

    Ability to delegate effectively while maintaining accountability

    Strategic thinking with focus on continuous improvement

    Outstanding communication skills, including:

    Professional written communication for policies, reports, correspondence, and presentations

    Clear verbal communication with staff, families, regulatory agencies, and external partners

    Active listening and conflict resolution skills

    Ability to explain complex regulatory and billing concepts in accessible language

    Exceptional organizational and time management skills, including:

    Ability to manage multiple priorities simultaneously

    Strong attention to detail and accuracy

    Systematic approach to problem-solving and project management

    Ability to meet deadlines under pressure

    High emotional intelligence and interpersonal effectiveness, including:

    Empathy and compassion when working with families of children with autism

    Professional demeanor in handling sensitive situations

    Ability to build trust and rapport with diverse stakeholders

    Cultural sensitivity and respect for diverse perspectives

    Integrity and ethical leadership, including:

    Unwavering commitment to compliance and ethical business practices

    Transparency and honesty in all communications

    Discretion and confidentiality with sensitive information

    Accountability for decisions and outcomes

    Problem-solving and critical thinking skills, including:

    Analytical approach to identifying root causes of operational challenges

    Creative thinking to develop innovative solutions

    Data-driven decision-making

    Proactive identification of risks and implementation of preventive measures

    Preferred Qualifications

    Master's degree in Healthcare Administration (MHA) or Master of Business Administration (MBA) with healthcare focus

    Professional certification such as Certified Healthcare Manager (CHM), Certified Medical Manager (CMM), or Professional in Healthcare Management (PHM)

    Previous experience as Clinic Manager, Practice Manager, or Operations Manager in an ABA, autism services, or pediatric behavioral health setting

    Direct experience successfully navigating Minnesota DHS audits with zero findings or rapid remediation of any identified issues

    Certified Professional Coder (CPC) or similar billing/coding certification

    SHRM-CP or PHR certification (human resources)

    Experience implementing Electronic Health Record (EHR) systems or leading operational technology transitions

    Bilingual proficiency in Spanish, Somali, Hmong, or other languages commonly spoken in Minnesota communities

    Experience with grant management and reporting for government or foundation-funded programs

    Knowledge of Lean Six Sigma or other quality improvement methodologies

    Experience with CARF accreditation or other healthcare quality accreditation processes

    Paid Holidays: All major holidays observed plus additional year-end closure

    Professional Development: Annual allowance for conferences, workshops, certification programs, and continuing education

    Compensation & Benefits

    Minnesota Mental Health Solutions offers a highly competitive compensation package designed to attract and retain exceptional operational leaders:

    Salary

    Annual Salary Range: $40,000 - $90,000 (commensurate with experience, education, and demonstrated management expertise)

    Performance-based bonuses tied to operational metrics, financial performance, compliance outcomes, and organizational goals

    Comprehensive Benefits Package

    Health Insurance: Medical, dental, and vision coverage with employer contribution

    Retirement Plan: 401(k) with employer matching contribution

    Paid Time Off: PTO Sick Leave

    Flexible Schedule: Some flexibility for hybrid work arrangements for administrative tasks (in-office presence required most days)

    Technology Stipend: Company laptop, phone stipend, and access to necessary software and tools

    Professional Memberships: Reimbursement for professional association memberships (MGMA, HFMA, SHRM, etc.)

    Additional Perks

    Collaborative Leadership Team: Work alongside dedicated clinical and executive leaders committed to excellence

    Mission-Driven Organization: Make a meaningful impact on children with autism and their families

    Growth Opportunities: Potential for advancement to Director of Operations or Chief Operating Officer roles as organization expands

    Work-Life Balance: Reasonable working hours with respect for personal time

    Supportive Culture: Team-oriented environment that values innovation, continuous improvement, and employee wellbeing

    Work Environment & Physical Demands

    Work Setting

    Primary work location: Minnesota Mental Health Solutions clinic in Eden Prairie, Minnesota

    Work schedule: Full-time/Part-time, Monday through Friday, typically 9:00 AM - 5:00 PM (some flexibility available; occasional evening or weekend work for events or urgent needs)

    Office environment: Professional clinic setting with administrative offices, conference rooms, and therapy spaces

    Occasional travel: May require occasional travel to community sites, professional development events, or regulatory meetings

    Physical Demands

    Prolonged periods of sitting at desk working on computer

    Ability to lift and move office supplies, files, and equipment (up to 25 lbs occasionally)

    Ability to navigate clinic facility, including stairs if applicable

    Visual acuity for reading documents and computer screens

    Auditory acuity for phone conversations and in-person meetings

    Manual dexterity for typing, filing, and operating office equipment

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

    Why Join Minnesota Mental Health Solutions?

    ✅ Operational Excellence: Build and lead the operational infrastructure of a growing, mission-driven organization ✅ Leadership Impact: Shape policies, systems, and culture that directly influence clinical outcomes and organizational success ✅ Compliance Expertise: Leverage and expand your regulatory knowledge in a compliance-focused environment ✅ Professional Growth: Access to ongoing training, leadership development, and career advancement opportunities ✅ Meaningful Mission: Support life-changing interventions for children with autism and their families ✅ Collaborative Culture: Work with a dedicated team of professionals who value excellence, integrity, and continuous improvement ✅ Work-Life Balance: Predictable schedule with respect for personal time and wellbeing ✅ Financial Stability: Join an established organization with sustainable growth trajectory and strong financial foundation