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Consulting Services & Project/Program Management (Non-IT)

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Director, Care Coordination for Medicaid and Vulnerable Populations

Location: Oakland, CA Additional Locations:
Job Number: 804569 Date posted: 06/06/2019
Provide leadership, direction, and operational oversight for KP's organization-wide care coordination and care management strategy, services and operations for Medicaid and vulnerable populations, which include populations such as the dual-eligibles, Aged Blind and Disabled/Seniors and Persons with Disabilities (ABD/SPD), children with special health care need, and complex perinatal/high risk obstetrics, and that aligns with the organization's mission, strategies, and objectives. Collaborates with Regions and local areas within KP for the successful adaptation, deployment, and sustainability of care coordination and care management programs.  

Essential Responsibilities:
  • Leads and directs the national implementation of care coordination and care management programs designed to address the needs of Medicaid and vulnerable members, improve the quality and services for their care and ensure the appropriate utilization of services available to them. Implements strategies and plans to meet organizational goals and objectives. Works closely with Regions to design, implementation, and evaluate care coordination programs. Supports the VP of Care Coordination on execution of strategies.
  • Partners and collaborations with PMG, KFHP, KFH, key regional and program office leaders and stakeholders, and community and government agencies on efforts towards implementing care coordination and care management programs provided to Medicaid and vulnerable members and patients. Identifies and works with stakeholders to execute strategy nationally through effective partnerships with regions.
  • Leads visible and complex projects focusing on performance improvement and transformation aimed at improving the care coordination and care management provided to Medicaid and vulnerable populations. Supports the development, implementation, and evaluation of effective pilots, programs and practices derived from market leading and evidence-based research and performance outcomes.
  • Ensures standardization and optimization of workflows of models that are being spread and scaled.  Provides operational oversight for care coordination and care management efforts throughout regions. Develops playbooks for care coordination/care management models that are ready for spread and scale; Works closely with clinical and operational leaders across the continuum. Organizes and facilitates meetings with key stakeholders involved in the execution of care coordination/case management programs.
  • Serves as a national subject matter expert around care coordination and care management for vulnerable populations. Continuously evaluates market leading and evidence-based research focused on care coordination and care management programs.
  • Works on design, implementation and evaluation of IT solutions to support care coordination and care mgmt. efforts. Facilitates and oversees standardized and optimized deployment of an administrative case management tracking system (ACMTS) across the KP regions.
Basic Qualifications:
  • Minimum seven (7) years of experience in Medicaid programs to include experience with vulnerable populations and implementation of care coordination programs for vulnerable populations required.
  • Education
    • Master's degree in business administration, economics, healthcare administration, public health, health policy and management, or related field required.
    License, Certification, Registration
  • N/A

  • Additional Requirements:
  • Demonstrated ability to determine the key business issues and develop appropriate action plans from multi-disciplinary perspectives.
  • Proven leadership skills in project management and consulting, especially on highly visible, politically sensitive issues.
  • Excellent skills in complex analytic problem solving, project management, change management, and group process.
  • Must exhibit efficiency, collaboration, candor, openness, and results orientation.
  • Demonstrated ability to lead professionals and manage others through influence and collaboration.
  • Proficient in team building, conflict resolution, group interaction, project management, and cost effective and budget management.
  • Understanding of and experience in business process improvement and the tools and data requirements for supporting an effective business process improvement practice.
  • Demonstrated ability to conduct and interpret quantitative/qualitative analysis.
  • Proven leadership skills in project management and consulting.
  • Excellent skills in complex analytic problem solving, project management, change management, and group process.
  • Must exhibit efficiency, collaboration, candor, openness, and results orientation.
  • Proven ability to effectively manage in ambiguous situations with minimal direction.
  • Must demonstrate an understanding of health policy trends and any applicable regulations related to the responsible technical area.
  • Understanding of the operations of KP.
  • Excellent verbal and written communications skills.
  • Must be able to work in a Labor/Management Partnership environment.

  • Preferred Qualifications:
    • Registered Nurse (RN) License in one of the following states: California, Colorado, Hawaii, Maryland, Oregon, or Washington.
    Primary Location: California,Oakland,1800 Harrison 1800 Harrison Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 4:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: Consulting Services / Project/Program Management (Non IT) Department: National Medicaid Travel: Yes, 15 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

    About Consulting Services & Project/program Management (non-it) Careers

    Consulting Services & Project/program Management (non-it) Careers

    These careers consist of Program and Project Managers, Business Consultants, Business Analysts, and Data Analysts who all work together to effect positive organizational change from the inside out.

    Join our talented team and make a difference through performing business analysis, developing business cases, providing client support during system development and implementation, managing projects, or by leading complex programs with multiple work streams.

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