[Hiring] Program Director IHS @Acentra Health, LLC

Role Description

Acentra Health is looking for a Program Director to join our growing team.

Supports the contracts and programs to ensure efficiencies, deliverables and assigned contract functions are performed to the highest standards to strengthen the relationships with customers and meet contract requirements.

• This position is remote, but candidates must reside in Oregon or be located in a state that borders the Oregon borders and within less than a one hour drive from the primary location where Members receive the health care services and health-related social needs services.

Job Responsibilities:

• Effectively directs program through objectives and goals assigned for contract compliance. Monitors metrics and daily operations to ensure success.
• Collaborates with program leaders, including medical director, management teams, and corporate support teams to improve processes, determine training needs and improvement opportunities. Assists in budget review and management.
• Provides leadership and supervision to staff assigned to the program, including quality, CM, UM, retrospective reviews, provider training/education, consumer training/education, data collection, analysis and reporting and technical assistance, to ensure compliance with accreditation standards.
• Works with management and corporate team for the enhancement of the RFP, new RFP cycles and related new business.
• Oversees budget review and analysis to ensure the financial success of the program.
• Assesses all systems, including contract, policy and procedure, workflow, etc., continually to ensure a high level of customer satisfaction to all stakeholders.
• Collaborates with management team to create an organizational structure that will ensure effective processes and work designs, including team integration and oversight which will include Oregon statewide field-based visits.
• Assists in determining development opportunities for staff and teams.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Qualifications

• Master's degree in a field related to Care Coordination or other similar health care service (contractually required)
• 5+ years of experience in health care or clinical
• 5+ years of experience in operations and management
• This position is remote, but candidates must reside in Oregon or be located in a state that borders the Oregon borders and within less than a one hour drive from the primary location where Members receive the health care services and health-related social needs services
• Travel up to 15-20%, program dependent

Requirements

• Provider Network experience either through provider relations or provider recruitment/enrollment
• Knowledge of best practice in healthcare operations, including quality initiatives and quality oversight
• Knowledge of regulatory agency compliance, government policy, and structure
• Knowledge of contract development and implementation
• Budget and financial skills
• Able to lead and manage direct reports to achieve contract deliverables
• Aptitude for systems planning and prioritization of tasks
• Competent communication skills for community stakeholder meetings or relations
• Provide data analysis and reporting that meets the contractor’s goals of quality care and cost effectiveness
• Provide consultation to contractor on system and policy issues

Benefits

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more