• Commonwealth Care Alliance
  • $108,530.00 -167,060.00/year*
  • Methuen , MA
  • Executive Management
  • Full-Time


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Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job. CCA s Director of Client Programs will have an opportunity to develop and build CCA s strategic plan to grow clinical Client Programs. A Client Program is defined as a third party for whom CCA is providing care management, complex care coordination and care delivery for individuals who are covered by health plans other than CCA. Clients are health care delivery systems or other payers who serve the most medically, behaviorally and socially complex populations. This role will be responsible for the ongoing operational functions of the program which has four distinct teams across the Commonwealth of Massachusetts. The Director of Client Programs contributes to programmatic and strategic growth of the client programs and represents this work internally and with external partners.Currently, this role is dedicated to our seminal client, one of the largest health care systems in Massachusetts. As more clients join this portfolio, the role s scope will proportionately expand to meet the needs of multiple clients. Responsibilities The individual s primary duties are to plan, coordinate, direct, and supervise various elements of the program. This role will develop and manage patient engagement, clinical, billing and collections of workflows as well as oversee the tracking of key performance indicators. This role will also develop, document, and implement work policies for front line clinicians and administrative staff. This role is additionally responsible for the consistent operational management of team leads across the organization who manage site specific client program teams. The individual will contribute to programmatic and strategic growth of the client programs and represents this work internally and with external partners.This role models and develops efficient, highly productive and effective teams. This requires skills in data evaluation, implementation of strategic approaches, application of current healthcare concepts and leveraging strong interpersonal skills across the organization and with external partners. Supervision Exercised: Yes, The Director, Client Programs will manage, from an administrative and operational perspective, four inter- professional teams of 6-8 members that are made up of clinical and business operations staff. ? Key Responsibilities: Accountable for the delivery of CCA contractual obligations (for each partnered organization) and key performance indicators that define success Oversee accurate billing and collection to Mass Health Oversees credentialing and enrollment with appropriate payers Ensures current maintenance of all necessary licenses (clinical licenses, MCSR, DEA) Identifies strategic team needs to be successful within the contract agreements (data, personnel, equipment etc.) Direct Day to Day operational management of site specific, inter-professional teams including, but not limited to 1:1 meetings that review productivity, completeness of documentation and reviews key performance indicator status Routine program evaluation and support that includes chart reviews, technical support and logistical needs Regularly provides individual and team feedback based on data, key performance and quality reviews. Manages each team member fairly with a goal that each team member is supported to be successful in their role. Leverages CCAs human resources processes when necessary. Facilitates face to face and remote team and cross- organizational meetings that focus on performance, needs, operations, strategy and program development. Works cross-functionally within the organization to develop and document effective and efficient local work flows. Leverages available data and translates this for operability within teams across the organization Adjusts team approaches, tactics and actions based on performance and outcomes. Partners with senior leadership regarding strategic model approaches, programmatic strategy and implementation practices. Participates in regular meetings with CCA teams, CCA senior leadership and with CCAs external partners. Contributes to data evaluation, document development and programmatic workflows with a focus on cross organizational alignment. Secondary Responsibilities: Participates in cross-organizational working groups to continuously improve practice Participates in CCA Process Improvement efforts. Participates in committees and workgroups that promote clinical excellence and help to advance CCA s mission and business objectives. Actively participates in the evaluation of own performance and progress. Expectations of all Employees: Demonstrate integrity by working with passion, commitment, and honesty, acting in the best interests of colleagues and members. Approaches work in a collaborative and caring manner. Interacts with insight, sincerity, and compassion. Demonstrates accountability by delivering on commitments, owning mistakes as well as successes, and contributing to an empowering environment where the focus is on solving problems and learning from errors. Recognizes and respects diversity in all forms. Strives for excellence in the fulfillment of CCA s mission through quality, innovation, and continuous learning. Demonstrate initiative, flexibility, and openness to change. Represent CCA and its clinical affiliates with professionalism. Keeps current and proficient with necessary skills and knowledge. Self-identifies training and development needs relevant to work area and responsibilities. Adheres to all applicable compliance requirements including but not limited to: completing required compliance training in a timely manner. Review Code of Conduct at least annually and promote and enforces CCA s Code of Conduct Promotes and enforces CCA s compliance program Adheres to CCA s Policy & Procedures. Promptly, in good faith, reports any instances of suspected fraud, waste and abuse; suspected privacy and/or security incidents; or any compliance concerns identified Ensures confidentiality of member and company proprietary information is maintained. Qualifications Qualifications: Minimum Education Required: Without Clinical Licensure MBA/MHA Preferred Additional Educational Experience: RN, APC, LICSW, LCSW, LMHC, PhD or Psy-D with licensure in good standing in Massachusetts Minimum Experience: 5 years of management (leadership) experience in a multi practice setting 7 years of practice management experience. Demonstrated success leading a large scale project involving significant change management Significant experience with quality / process improvement work Experience with program management and operational implementation Experience with cross-functional/ inter- professional collaboration Strong management and team-building skills Experience with change management implementation concepts Excellent communication and interpersonal skills Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Associated topics: assistant, asso, beverage, document, facilities, front desk, front office, operational assistant, operations director, staff

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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