Director of Utilization Management

Why work for Base. Point? Base. Point is a mission-driven behavioral health organization providing community-based mental health care for adolescents and young adults. We focus on delivering high-quality, evidence-based care while building scalable operations that expand access across Texas. Our purpose is simple: To move Texas from the bottom to the Top 5 in access to mental health care by 2030.

What You’ll Do: The Director of Utilization Management will lead strategy and execution for Base. Point’s community-based programs serving adolescents and young adults, including PHP and IOP levels of care. This performance-driven leadership role is responsible for building a disciplined, data-driven UM function that advocates for clients, collaborates with clinicians, and drives measurable outcomes.

Key Responsibilities

Payor Engagement & Authorization Management Own and oversee all authorization activities across Partial Hospitalization (PHP) and Intensive Outpatient (IOP) levels of care Drive proactive payor engagement, including escalation paths, peer-to-peer coordination, and advocacy strategies Assess and communicate likelihood of authorization success, including SCA viability, denial risk, and documentation gaps Establish and enforce standards for payor communication, documentation submission, and negotiation Appeals and Denials Management Build and operationalize a formal appeals and denials process Ensure all appropriate denials are reviewed and challenged Analyze denial trends by payor, program, and documentation gaps Improve appeal success rates through structured execution Clinical Utilization and Length of Stay Management Monitor utilization patterns and identify over and under utilization Align care delivery with commercial, state, and national length of stay benchmarks Partner with and hold clinicians accountable for documentation that supports medical necessity Drive appropriate progression through levels of care Data Reporting and Performance Management Stand up a scalable UM tracking and reporting infrastructure Transition UM workflows from manual tracking to enterprise systems Identify outliers and lead performance improvement efforts Regulatory Compliance and Standards Ensure compliance with commercial payor requirements, contractual obligations, and evidence-based medical necessity criteria, while maintaining readiness for accreditation and regulatory review.

Develop and maintain UM policies and procedures Minimum Qualifications: Education: Master’s Degree in a related clinical field and active licensure, if applicable Experience: 5 years+ in utilization management experience in behavioral health or healthcare with commercial payors 2 years + of people leadership experience Experience working cross-functionally with clinical and operational teams Experience working in high-growth, fast-paced organizations Strong knowledge of Texas payor authorization, appeals, and denial processes A proactive, solutions-oriented mindset with a passion for improving access to care What We Offer: Medical, Dental & Vision Insurance Performance Bonus potential!

401(k) Life Insurance + AD&D Short-Term & Long-Term Disability Accident Insurance, Critical Illness Insurance & Hospital Indemnity Insurance Paid Time Off (PTO) plus 7 Paid Holidays + 2 Floating Holidays A culture of growth, recognition, and celebration The Base. Point Difference – Our Core Values Courage to Solve – We face challenges head-on, taking responsibility for solutions and acting with integrity.

Spirit of Grit – We bring perseverance, endurance, and passion to everything we do—even when it isn’t easy. WWIWFMF (“What Would I Want for My Family”) – We deliver the kind of care we’d want for our own loved ones, ensuring the highest standard of excellence. Tend to Your Roses – We practice servant leadership, caring deeply for our people so they can flourish and thrive